Individual
EDWINA JANE POPEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6621 FANNIN STREET, HOUSTON, TX 77030-2399
(832) 824-1866
(832) 825-1032
Mailing address
PO BOX 741169, HOUSTON, TX 77274-1169
(832) 824-1866
(832) 825-1032
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G1519
TX
207ZP0213X
Pediatric Pathology Physician
G1519
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129399501
—
TX
05
—
129399509
—
TX
Enumeration date
05/27/2006
Last updated
02/28/2008
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