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Individual

EDWARD LOUIS MIDDLEMAN

Active
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Individual

EDWARD LOUIS MIDDLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
D6298
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102539701
TX
05
102539703
TX
01
85Z551
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/01/2006
Last updated
08/18/2008
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