Eckert, Edward Randolph
Eckert, Edward Randolph is an individual health care provider with primary practice located at 12221 N Mopac Expressway Namc Department Of Pathology, Austin TX 78758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Eckert, Edward Randolph can be contacted via phone (512) 901-1206.Contact Information
Primary practice address
12221 N Mopac Expressway Namc Department Of Pathology
Austin TX 78758
Phone: (512) 901-1206
Fax: (512) 901-1299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G8089 | Texas |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 07208R | Louisiana |
Profile Details
| NPI number | 1881675940 |
|---|---|
| LBN Legal business name | Eckert, Edward Randolph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Feb 16th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881675940 | NPPES |
| Texas | Other | 124423802 | CSHCN |
| Texas | MEDICAID | 124423803 | CSHCN |
| Texas | MEDICAID | 124423805 | CSHCN |
| Texas | Other | 80P644 | CSHCN |
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