Individual
EDWARD O UTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 WEST BELLFORT STREET, STE 120, HOUSTON, TX 77054-5024
(713) 741-6677
(713) 748-5860
Mailing address
PO BOX 421849, HOUSTON, TX 77242-1849
(713) 559-6929
(713) 559-6928
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H1228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039664001
—
TX
01
—
220013719
RAILROAD MEDICARE
TX
Enumeration date
06/30/2005
Last updated
03/30/2018
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