Organization
BILLY MAX EDEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLY MAX EDEN MD (MEDICAL DIRECTOR)
(817) 924-3000
Entity
Organization
Contact information
Practice address
2941 OAK PARK CIR, STE 200, FORT WORTH, TX 76109-1852
(817) 924-3000
(817) 924-3010
Mailing address
2941 OAK PARK CIR, STE 200, FORT WORTH, TX 76109-1852
(817) 924-3000
(817) 924-3010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F8094
TX
Other
Enumeration date
09/27/2007
Last updated
12/10/2009
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