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Individual

DR. RICHARD E. EDEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 SAINT MARKS PL STE 110, LA GRANGE, TX 78945-1255
(979) 242-2387
(979) 242-2206
Mailing address
2 SAINT MARKS PL STE 110, LA GRANGE, TX 78945-1255
(979) 242-2387
(979) 242-2206

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35130913
OH
207X00000X
Orthopaedic Surgery Physician
Primary
R7000
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/28/2012
Last updated
12/03/2019
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