Edmond, Michael T.

Edmond, Michael T. is an individual health care provider with primary practice located at 6835 Austin Center Blvd , Austin TX 78731-3166. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Edmond, Michael T. can be contacted via phone (512) 346-6611.

Contact Information

Primary practice address
6835 Austin Center Blvd Austin TX 78731-3166
Phone: (512) 346-6611
Fax: (512) 231-5201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E6071 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X E6071 Texas

Profile Details

NPI number 1649257452
LBN Legal business name Edmond, Michael T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jun 30th, 2010 - about 14 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 1649257452 NPPES
Texas MEDICAID 130017527
Texas MEDICAID 130204408
Texas MEDICAID 130204409

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