Individual
HERBERT P EDMUNDSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
7777 SOUTHWEST FWY, SUITE 900, HOUSTON, TX 77074-1802
(713) 981-9971
(713) 981-1457
Mailing address
7777 SOUTHWEST FWY, SUITE 900, HOUSTON, TX 77074-1802
(713) 981-9971
(713) 981-1457
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G8091
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10014684
AMERIGROUP
TX
05
—
119018302
—
TX
01
—
130010537
RAILROAD MEDICARE
TX
01
—
29055
TEXAN PLUS
TX
01
—
375890300
DEPT OF LABOR
TX
01
—
4105221
AETNA
TX
01
—
871313
BLUE CROSS BLUE SHIELD
TX
01
—
ED0871313
BCBS OUT OF STATE
—
01
—
MDG8091
W/C
TX
Enumeration date
05/15/2006
Last updated
02/07/2012
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