David Eidelson, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

S7042 Issued in TX

Practice address

4001 W Sam Houston Pkwy N Ste 110
Houston, TX 77043-1236

Phone

(713) 996-0900

Fax

(713) 500-6270

NPI assigned

Apr 24, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1609296987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 CREEKSIDE ACRES CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081473",
            "telephone_number": "561-213-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W SAM HOUSTON PKWY N STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770431236",
            "telephone_number": "713-996-0900",
            "fax_number": "713-500-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDELSON",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-24",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "S7042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Murray Eichler Jr.
• Ahmad W Eid, D.C
• Ahmed Eid, M.D.
• Farida Eid, MD
• Khadijah Eid, MBBS , MSCS, SB-URO
• Dan Kelly Eidman, M.D.
• Patricia J. Eifel, M.D.
• Anna Eifert
• Chinyere Eigege, LCSW
• Lisa Eiland

• Interventional Pain Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.