Individual
DR. DAN KELLY EIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4200 TWELVE OAKS DR.,, HOUSTON, TX 77027
(713) 980-7900
(713) 600-1788
Mailing address
4200 TWELVE OAKS DR.,, HOUSTON, TX 77027
(713) 980-7900
(713) 600-1788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E4316
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
E4316
TX
Other
Enumeration date
07/28/2005
Last updated
07/22/2023
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