Dan K. Eidman, Mdpa

Primary specialty

SpecialistTaxonomy code 174400000X

License

E4316 Issued in TX

Legal business name

DAN K. EIDMAN, MDPA

Practice address

6624 Fannin St Ste 1510
6624 Fannin, Ste 1510
Houston, TX 77030-2393

Phone

(713) 796-8595

Fax

(713) 796-0813

NPI assigned

Jul 11, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dan Eidman

Title

Ceo

Phone

(713) 796-8595

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1063777449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST STE 1510",
            "address_2": "6624 FANNIN, STE 1510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302393",
            "telephone_number": "713-796-8595",
            "fax_number": "713-796-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST STE 1510",
            "address_2": "6624 FANNIN, STE 1510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302393",
            "telephone_number": "713-796-8595",
            "fax_number": "713-796-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN K. EIDMAN, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "EIDMAN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-796-8595"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E4316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033288401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senthilkumar Damodaran, M.D. PH.D.
• Damon S. Gilmore
• Tracey E. Dampf, ACNP
• Ethan Paul Damron, MD
• Dan J. Hoang, DDS, PA
• Donbosco Nguyen Dan
• Dana Manshadi DDS, PLLC
• Krystal Dana, PT, DPT
• Danacare Services
• Danaedes Group LLC

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.