Active NPI
Edward R. Teitel, M.D.
- Surgery Physician
- Houston, TX
National Provider Identifier
1134407372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- F2058
- Practice address
- 9002 Chimney Rock Rd
Suite G 192
Houston, TX 77096-2509 - Phone
- (713) 729-3706
- NPI assigned
- Jul 21, 2011
- Last updated
- Jul 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | F2058 | TX | Primary |
Addresses
Primary practice location
9002 Chimney Rock Rd
Suite G 192
Houston, TX 77096-2509
Mailing address
9002 Chimney Rock Rd
Suite G 192
Houston, TX 77096-2509
Phone (713) 729-3706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F2058 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1134407372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9002 CHIMNEY ROCK RD",
"address_2": "SUITE G 192",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770962509",
"telephone_number": "713-729-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9002 CHIMNEY ROCK RD",
"address_2": "SUITE G 192",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770962509",
"telephone_number": "713-729-3706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEITEL",
"first_name": "EDWARD",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "F2058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.