Individual
EDSEL LUMBIS HESITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11130 CHRISTUS HLS STE 210, SAN ANTONIO, TX 78251-3586
(210) 245-2000
(210) 245-2020
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
M4152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182238902
—
TX
01
—
7633831
AETNA HMO
TX
01
—
8S2186
BLUECROSS/BLUESHIELD TX.
TX
01
—
P01547615
RAILROAD MEDICARE
TX
Enumeration date
07/09/2006
Last updated
09/20/2021
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