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Individual

JOEL I. EDIONWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
18626 HARDY OAK BLVD STE 300, SAN ANTONIO, TX 78258-4228
(210) 614-6432
(210) 293-2772
Mailing address
9150 HUEBNER RD STE 290, SAN ANTONIO, TX 78240-1598
(210) 614-6432
(210) 293-2772

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
T432
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
T432
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558897059
TX
Enumeration date
05/04/2017
Last updated
11/05/2025
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