Individual
MR. PHILLIP W EDMONDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
9955 KEMPWOOD DR, APT 804, HOUSTON, TX 77080-2668
(832) 723-7692
Mailing address
9955 KEMPWOOD DR, APT 804, HOUSTON, TX 77080-2668
(832) 723-7692
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
138187
TX
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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