Individual
DR. EDWARD LEROY GIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MAXWELL GLN, SAN ANTONIO, TX 78257-1262
(210) 670-9030
(210) 675-4072
Mailing address
1 MAXWELL GLN, SAN ANTONIO, TX 78257-1262
(210) 670-9030
(210) 675-4072
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E3557
TX
208600000X
Surgery Physician
E3557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120583303
—
TX
Enumeration date
11/16/2006
Last updated
12/21/2009
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