Individual
DR. EDWARD H. KOTIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2106 QUAIL RUN, SAN MARCOS, TX 78666-9495
(512) 392-8105
(512) 392-2701
Mailing address
2106 QUAIL RUN, SAN MARCOS, TX 78666-9495
(512) 392-8105
(512) 392-2701
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25333
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040GR
BLUECROSS BLUESHIELD
TX
01
—
217727
MHN
TX
Enumeration date
05/27/2005
Last updated
07/08/2007
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