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Individual

DR. MARK EDGCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6560 FANNIN ST STE 1404, HOUSTON, TX 77030-2706
(713) 790-0600
Mailing address
6560 FANNIN ST STE 1404, HOUSTON, TX 77030-2706
(713) 790-0600

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125065469
IL
208600000X
Surgery Physician
DR.0058405
CO
208600000X
Surgery Physician
Primary
S5605
TX

Other

Enumeration date
06/18/2014
Last updated
06/30/2021
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