Individual
EDWARD J BOMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 MEDICAL PKWY, BLDG B #220, CEDAR PARK, TX 78613-7763
(512) 260-1581
(512) 528-7925
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
87208
NM
208600000X
Surgery Physician
Primary
F9218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188686301
—
TX
05
—
188686302
—
TX
05
—
39859
—
NM
Enumeration date
10/04/2006
Last updated
04/11/2022
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