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EVERTON A EDMONDSON MD PA NPI 1659312742


NPI Information

NPI: 1659312742
Provider Name: EVERTON A EDMONDSON MD PA

Other Name: INTERVENTIONAL NEUROLOGY

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
6560 FANNIN ST
SUITE 1234
HOUSTON, TX
ZIP 77030
Phone: (713) 797-1180
Get Directions

EVERTON A EDMONDSON MD PA is a neurology psychiatry neurology in Houston, TX. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. EVERTON A EDMONDSON MD PA NPI is 1659312742. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Interventional Neurology.

The provider's business location address is:

6560 FANNIN ST
SUITE 1234
HOUSTON, TX
ZIP 77030-761
Phone: (713) 797-1180
Fax: (713) 797-0641

The provider's authorized official is Everton Anthony Edmondson .
The authorized official title is Ceo and has the following contact phone number (713) 797-1180.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 12/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineG9451TEXASNo
22084N0400XPsychiatry & NeurologyNeurologyG9451TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100X089MEDICARE ID-TYPE UNSPECIFIEDTEXASMULTI SPECIALTY
2B80300MEDICARE UPINTEXAS
38AJ445OTHERTEXASBLUE CROSS
46618980001MEDICARE NSCTEXAS
5190246201MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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