Bombach, Edward J

Bombach, Edward J is an individual health care provider with primary practice located at 1401 Medical Pkwy Bldg B #220, Cedar Park TX 78613-7763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bombach, Edward J can be contacted via phone (512) 260-1581.

Contact Information

Primary practice address
1401 Medical Pkwy Bldg B #220 Cedar Park TX 78613-7763
Fax: (512) 528-7925
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 87208 New Mexico
Allopathic & Osteopathic Physicians / Surgery 208600000X F9218 Texas

Profile Details

NPI number 1659466738
LBN Legal business name Bombach, Edward J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 11th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659466738 NPPES
New Mexico MEDICAID 39859
New Mexico MEDICAID 188686302
New Mexico MEDICAID 188686301

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