Provider Demographics
NPI:1912933284
Name:MCCOIG, EDWARD L (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:L
Last Name:MCCOIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:22751 PROFESSIONAL DR
Mailing Address - Street 2:STE 1200
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-6022
Mailing Address - Country:US
Mailing Address - Phone:281-319-8383
Mailing Address - Fax:281-319-8384
Practice Address - Street 1:27751 PROFESSIONAL DR
Practice Address - Street 2:SUITE 1200
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339
Practice Address - Country:US
Practice Address - Phone:281-319-8300
Practice Address - Fax:281-359-2089
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF4258207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F23049Medicare PIN
TXB24716Medicare UPIN