Individual
EDSEL LUMBIS HESITA
Active
Individual
EDSEL LUMBIS HESITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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