MEDICARE: DR. EDWARD MANUEL PINA 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
1	208600000X	Surgery Physician	H9252	TX

General Provider Information

NPI Number	:	1720257454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD MANUEL PINA MD

Provider Business Mailing Address
First Line	:	PO BOX 2111
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77522-2111
Country	:	US
Telephone Number	:	281-422-9811
Fax Number	:	281-420-1262

Provider Business Practice Location Address
First Line	:	2530 W HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1904
Country	:	US
Telephone Number	:	713-661-5255
Fax Number	:	281-420-1262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2008
Last Update Date	:	04/28/2023

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