Provider Demographics
NPI:1578096012
Name:BALDWIN, EDWARD LORENZO III (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:LORENZO
Last Name:BALDWIN
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:18400 KATY FWY STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1295
Mailing Address - Country:US
Mailing Address - Phone:325-228-2808
Mailing Address - Fax:832-522-8281
Practice Address - Street 1:18400 KATY FWY STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1295
Practice Address - Country:US
Practice Address - Phone:325-228-2808
Practice Address - Fax:832-522-8281
Is Sole Proprietor?:No
Enumeration Date:2017-04-11
Last Update Date:2023-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXU3149174400000X, 207XS0117X
PAMD477093207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No174400000XOther Service ProvidersSpecialist