Edmundson, Philip Marshall

Edmundson, Philip Marshall is an individual health care provider with primary practice located at 8230 Walnut Hill Ln Ste 320 , Dallas TX 75231-4481. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Edmundson, Philip Marshall can be contacted via phone (214) 369-5432.

Contact Information

Primary practice address
8230 Walnut Hill Ln Ste 320 Dallas TX 75231-4481
Fax: (214) 369-5591
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X R7445 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X R7445 Texas

Profile Details

NPI number 1831533835
LBN Legal business name Edmundson, Philip Marshall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2013
Last updated Aug 21st, 2019 - about 5 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 1831533835 NPPES
Texas MEDICAID 388262301
Texas Other 388262302

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