Provider Demographics
NPI:1720257454
Name:PINA, EDWARD MANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:MANUEL
Last Name:PINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2111
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77522-2111
Mailing Address - Country:US
Mailing Address - Phone:281-422-9811
Mailing Address - Fax:281-420-1262
Practice Address - Street 1:2530 W HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1904
Practice Address - Country:US
Practice Address - Phone:713-661-5255
Practice Address - Fax:281-420-1262
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH9252208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery