Provider Demographics
NPI:1689363806
Name:TEXAS ENT FOR CHILDREN, LLC
Entity Type:Organization
Organization Name:TEXAS ENT FOR CHILDREN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:LINDSEY
Authorized Official - Last Name:EDMONDS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:281-762-2293
Mailing Address - Street 1:7790 W GRAND PKWY S STE 100
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-5830
Mailing Address - Country:US
Mailing Address - Phone:281-762-2293
Mailing Address - Fax:281-762-2383
Practice Address - Street 1:7790 W GRAND PKWY S STE 100
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5830
Practice Address - Country:US
Practice Address - Phone:281-762-2293
Practice Address - Fax:281-762-2383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric OtolaryngologyGroup - Single Specialty
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty