Individual
JOHN FRANCIS EIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 N HALL ST STE 100, DALLAS, TX 75226-1305
(214) 821-9600
(214) 823-5290
Mailing address
621 N HALL ST STE 100, DALLAS, TX 75226-1305
(214) 821-9600
(214) 823-5290
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
35233
SC
2086S0129X
Vascular Surgery Physician
Primary
F9394
TX
2086S0129X
Vascular Surgery Physician
R-3908
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114686001
—
AR
Enumeration date
07/31/2006
Last updated
09/01/2022
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