Individual
PHILIP MARSHALL EDMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8230 WALNUT HILL LN STE 320, DALLAS, TX 75231-4481
(214) 369-5432
(214) 369-5591
Mailing address
8230 WALNUT HILL LN STE 320, DALLAS, TX 75231-4481
(214) 369-5432
(214) 369-5591
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R7445
TX
2086S0102X
Surgical Critical Care Physician
Primary
R7445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388262301
—
TX
01
—
388262302
CSHCN
TX
Enumeration date
04/20/2013
Last updated
08/21/2019
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