Edmondson, Everton Anthony

Edmondson, Everton Anthony is an individual health care provider with primary practice located at 6560 Fannin St Suite 1234, Houston TX 77030-2761. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Edmondson, Everton Anthony can be contacted via phone (713) 797-1180.

Contact Information

Primary practice address
6560 Fannin St Suite 1234 Houston TX 77030-2761
Phone: (713) 797-1180
Fax: (713) 797-0641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X G9451 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G9451 Texas

Profile Details

NPI number 1912985813
LBN Legal business name Edmondson, Everton Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Nov 13th, 2020 - about 4 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 1912985813 NPPES
Texas MEDICAID 139241712
Texas MEDICAID 139241716
Texas MEDICAID 139241717
Texas Other 8AJ445

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