Emborgo, Edwin Concerman
Emborgo, Edwin Concerman is an sole proprietor health care provider with primary practice located at 1023 N Mound St Suite A, Nacogdoches TX 75961-4491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Emborgo, Edwin Concerman can be contacted via phone (936) 564-2691.Contact Information
Primary practice address
1023 N Mound St Suite A
Nacogdoches TX 75961-4491
Phone: (936) 564-2691
Fax: (713) 634-2636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E4705 | Arkansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M8458 | Texas |
Profile Details
| NPI number | 1427096080 |
|---|---|
| LBN Legal business name | Emborgo, Edwin Concerman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Mar 18th, 2011 - about 15 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 | 1427096080 | NPPES |
| Texas | MEDICAID | 203713701 | |
| Texas | Other | M8458 |
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