MEDICARE: DR. DAN KELLY EIDMAN M.D.

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	174400000X	Specialist	E4316	TX
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	E4316	TX

General Provider Information

NPI Number	:	1649270059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAN KELLY EIDMAN M.D.

Provider Business Mailing Address
First Line	:	4200 TWELVE OAKS DR.,
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027
Country	:	US
Telephone Number	:	713-980-7900
Fax Number	:	713-600-1788

Provider Business Practice Location Address
First Line	:	4200 TWELVE OAKS DR.,
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027
Country	:	US
Telephone Number	:	713-980-7900
Fax Number	:	713-600-1788

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	07/22/2023

Similar Medicare Providers

1669049862 — DANIYAL AHMED MD
Practice Location Address:

4615 SOUTHWEST FWY STE 1000
HOUSTON, TX
77027-7108

Practice Phone: 346-209-3001
Practice Fax: 346-275-2905

1700986494 — DR. THOMAS MICHAEL RICHEY NP-C, DC
Practice Location Address:

4140 SOUTHWEST FWY STE 100
HOUSTON, TX
77027-7319

Practice Phone: 713-980-7900
Practice Fax: 713-795-0417

1043911605 — 1ST COMMUNITY CARE CONNECTIONS LLC
Practice Location Address:

4141 SOUTHWEST FWY STE 510
HOUSTON, TX
77027-7334

Practice Phone: 832-699-7921
Practice Fax:

1568906212 — HOUSTON UROLOGIC SURGICENTER, LLC
Practice Location Address:

4219 RICHMOND AVE , SUITE 100
HOUSTON, TX
77027-6893

Practice Phone: 713-634-4433
Practice Fax:

1265134993 — AMY R LANGSTON APRN
Practice Location Address:

19 BRIAR HOLLOW LN STE 120
HOUSTON, TX
77027-2827

Practice Phone: 832-245-4849
Practice Fax: 862-265-1653

1083562060 — MS. ELIZABETH GABRIELLA PAWELEK FNP
Practice Location Address:

4411 SAN FELIPE ST
HOUSTON, TX
77027-3402

Practice Phone: 281-985-1476
Practice Fax: 281-638-9887

1841122074 — ANH DZUNG CUNG PHARMD
Practice Location Address:

4634 INGERSOLL ST
HOUSTON, TX
77027-6706

Practice Phone: 281-701-0893
Practice Fax:

Directions to “ DR. DAN KELLY EIDMAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.