Individual
EDWARD HARRY HERSKOVITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219-4688
(510) 683-9500
(877) 880-2039
Mailing address
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219-4688
(510) 683-9500
(877) 880-2039
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
G61201
CA
2085R0202X
Diagnostic Radiology Physician
2026-02009
NC
2085R0202X
Diagnostic Radiology Physician
56124
KY
2085R0202X
Diagnostic Radiology Physician
Primary
G61201
CA
2085R0202X
Diagnostic Radiology Physician
T9923
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020663300
—
DC
05
—
680551500
—
MD
Enumeration date
06/29/2006
Last updated
05/04/2026
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