Individual
DR. PETER JULIUS EDENHOFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2655 NE LOOP 286, PARIS, TX 75460-3444
(903) 784-1593
(903) 784-6807
Mailing address
2655 NE LOOP 286, PARIS, TX 75460-3444
(903) 784-1593
(903) 784-6807
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J7476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0813743-01
—
TX
Enumeration date
08/15/2006
Last updated
01/11/2013
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