Xavier, Edward S

Xavier, Edward S is an individual health care provider with primary practice located at 111 Vision Park Blvd Suite 150, Shenandoah TX 77384-3002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Xavier, Edward S can be contacted via phone (936) 321-0033.

Contact Information

Primary practice address
111 Vision Park Blvd Suite 150 Shenandoah TX 77384-3002
Fax: (936) 321-0032
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X N3395 Texas

Profile Details

NPI number 1154539757
LBN Legal business name Xavier, Edward S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated May 20th, 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 1154539757 NPPES
Texas MEDICAID 209252002
Texas MEDICAID 209252001

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