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Physician Compare National (NPI:1801869235)

HEALTHCARE PROVIDER: EDWARD ARMAND EICHLER JR. MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1801869235
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9133256480
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100419000800
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name EICHLER
Individual professional last name
Provider First Name EDWARD
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Individual professional's medical school
Graduation Year 1981
Individual professional's medical school graduation year
Primary Specialty MEDICAL ONCOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 HEMATOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties HEMATOLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 2604 ST MICHAEL DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 210
Group Practice or individual's line 2 address
City TEXARKANA
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 755032372
Group Practice or individual's zip code (9 digits when available)
Phone Number 9036145510
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 450801
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 CHRISTUS ST MICHAEL HEALTH SYSTEM
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 450200
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 WADLEY REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 041311
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 HOWARD MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 040067
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 MAGNOLIA HOSPITAL
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 040153
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 WADLEY REGIONAL MEDICAL CENTER AT HOPE
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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