MEDICARE: EHIZOGIE EDIGIN 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	207RR0500X	Rheumatology Physician	T7913	TX
2	207N00000X	Dermatology Physician	T7913	TX

General Provider Information

NPI Number	:	1346728656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EHIZOGIE EDIGIN MD

Provider Business Mailing Address
First Line	:	12812 HEDDINGTON GROVE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77047-2230
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2306 RAYFORD RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1707
Country	:	US
Telephone Number	:	872-817-0144
Fax Number	:

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

Provider Enumeration Date	:	07/30/2018
Last Update Date	:	05/21/2026

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Directions to “ EHIZOGIE EDIGIN MD” Practice Location

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