Organization
EDEN HEALTH MEDICAL OF TEXAS, PA
Active
Organization
EDEN HEALTH MEDICAL OF TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE JENKINS MD (PRESIDENT)
(917) 261-4414
Entity
Organization
Contact information
Practice address
823 CONGRESS AVE STE 300, AUSTIN, TX 78701-2448
(917) 261-4414
Mailing address
77 GOODELL ST STE 510, BUFFALO, NY 14203-1258
(917) 261-4414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
09/13/2024
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