Individual
BRUCE EDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12010 COBBLESTONE DR, HOUSTON, TX 77024-5054
(713) 467-5988
Mailing address
12010 COBBLESTONE DR, HOUSTON, TX 77024-5054
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E2195
TX
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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