Individual
EDWIN HERBERT BASDEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 LA BRANCH ST, HOUSTON, TX 77002-8321
(713) 481-3535
(713) 432-0221
Mailing address
PO BOX 420150, HOUSTON, TX 77242-0150
(713) 559-6929
(713) 559-6928
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E2980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220006555
RAILROAD MEDICARE
TX
Enumeration date
06/13/2005
Last updated
01/09/2012
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