Individual
EDMUNDO D YRIGOYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
427 W 20TH ST, SUITE 708, HOUSTON, TX 77008-2441
(713) 869-3402
(713) 869-9458
Mailing address
427 W 20TH ST, SUITE 708, HOUSTON, TX 77008-2441
(713) 869-3402
(713) 869-9458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G2516
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000887-01
—
TX
01
—
76-0252348
TAX IDENTIFICATION
TX
Enumeration date
12/04/2006
Last updated
09/14/2012
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