John Charles Edlin in Dallas - Adolescent Medicine
John Charles Edlin - NPI 1114936614
John Charles Edlin is a Adolescent Medicine in Dallas, Texas. John Charles Edlin practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for John Charles Edlin is 1114936614. The last update date is 2007-07-08.
John Charles Edlin's current location address is 12800 Hillcrest Rd, Dallas, Texas. You can contact this provider via phone number 9722399252 and fax number 9724049609. The mailing address for John Charles Edlin is 12800 Hillcrest Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Charles Edlin |
|---|---|
| Address | 12800 Hillcrest Rd, Dallas, Texas |
| Phone Number | 9722399252 |
| Fax Number | 9724049609 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114936614 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12800 Hillcrest Rd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752301524 |
| Phone Number | 9722399252 |
| Fax Number | 9724049609 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | E1307 |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 886542 | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John Charles Edlin by the Centers for Medicare & Medicaid Services?
The John Charles Edlin has been assigned the NPI (National Provider Identifier) 1114936614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where John Charles Edlin is located?
The John Charles Edlin is situated at the following address: 12800 Hillcrest Rd, Dallas, TX, 752301524.
What is the John Charles Edlin's specialty and taxonomy code?
The John Charles Edlin's specialty is Adolescent Medicine, and the corresponding taxonomy code is 207Qa0000X.
When was the John Charles Edlin's 1114936614 issued?
The John Charles Edlin's 1114936614 was issued on 2006-08-05.
As of what date were the John Charles Edlin's details last updated?
The information pertaining to the John Charles Edlin, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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