Individual
DR. BILLY MAX EDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 E CHARNWOOD ST, STE B, TYLER, TX 75701-1708
(903) 525-1664
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
F8094
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109389001
—
TX
05
—
131961809
—
TX
01
—
75-2616977-026
TRICARE
TX
01
—
75-2616977-129
TRICARE
TX
01
—
8FS313
BCBS
TX
01
—
P01628359
RAIL ROAD MEDICARE
TX
Enumeration date
07/01/2006
Last updated
04/22/2025
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