Provider Demographics
NPI:1164418133
Name:KAPLAN, EDWARD P (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:P
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:STE A230
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2568
Mailing Address - Country:US
Mailing Address - Phone:214-692-8262
Mailing Address - Fax:214-696-4190
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:STE A230
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2598
Practice Address - Country:US
Practice Address - Phone:972-566-7765
Practice Address - Fax:972-566-4656
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2120208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144157805OtherMEDICAID OTHER
TX144157802Medicaid
TX144157806Medicaid
TX144157803Medicaid
TX144157804Medicaid
TX144157803Medicaid
TX453284YNEDMedicare PIN
TX144157806Medicaid
TX144157805OtherMEDICAID OTHER