Individual
JEFFREY FREDERICK ERDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2801 FRANCISCAN DR, BRYAN, TX 77802-2544
(979) 776-2568
Mailing address
3072 ARAPAHO RIDGE DR, COLLEGE STATION, TX 77845-4533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L4923
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168214801
—
TX
Enumeration date
04/27/2006
Last updated
08/23/2010
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