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NPI Code Detail

MEDICARE: JOSEPH LINDSAY EDMONDS JR. MD

MEDICARE: JOSEPH LINDSAY EDMONDS JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YP0228XPediatric Otolaryngology PhysicianL0149TX

General Provider Information

NPI Number : 1457346710
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH LINDSAY EDMONDS JR. MD
Provider Business Mailing Address
First Line : 7790 W GRAND PKWY S STE 100
Second Line :
City : RICHMOND
State : TX
Zip : 77406-5830
Country : US
Telephone Number : 281-762-2293
Fax Number : 281-762-2383
Provider Business Practice Location Address
First Line : 6621 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2358
Country : US
Telephone Number : 832-824-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 09/29/2023

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