Individual
ERIC PEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 FANNIN ST, SUITE 1401, HOUSTON, TX 77030-2717
(713) 441-5200
(713) 793-7428
Mailing address
6550 FANNIN ST, SUITE 1401, HOUSTON, TX 77030-2717
(713) 441-5200
(713) 793-7428
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
J8709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038786201
—
TX
05
—
038786206
—
TX
05
—
038786207
—
TX
01
—
8W8519
BLUE CROSS BLUE SHIELD
TX
01
—
P00434000
RR MEDICARE
TX
01
—
P01039339
RR MEDICARE
TX
Enumeration date
10/17/2006
Last updated
11/02/2016
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