Individual
DR. EZEA DANIEL EDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1295 PEARL ST, BEAUMONT, TX 77701-3643
(409) 835-8530
(409) 839-2352
Mailing address
1295 PEARL ST, BEAUMONT, TX 77701-3642
(409) 835-8530
(409) 839-2352
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H9627
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128213903
—
TX
Enumeration date
07/03/2006
Last updated
02/24/2023
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