Individual
DR. EDWIN CONCERMAN EMBORGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1023 N MOUND ST, SUITE A, NACOGDOCHES, TX 75961-4491
(936) 564-2691
(713) 634-2636
Mailing address
PO BOX 630696, NACOGDOCHES, TX 75963-0696
(936) 564-2691
(713) 634-2636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E4705
AR
207Q00000X
Family Medicine Physician
Primary
M8458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203713701
—
TX
01
—
M8458
PHYSICIAN LICENSE
TX
Enumeration date
06/03/2006
Last updated
03/18/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us