Basic Information
| Provider Information | |||||||||
| NPI: | 1407894918 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EDDINGS | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8140 N MOPAC EXPY BLDG III | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787598837 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123432292 | ||||||||
| FaxNumber: | 5123432745 | ||||||||
| Practice Location | |||||||||
| Address1: | 8140 N MOPAC EXPY BLDG III | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787598837 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123432292 | ||||||||
| FaxNumber: | 5123432745 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2006 | ||||||||
| LastUpdateDate: | 11/21/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | K7725 | TX | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 1440117-03 | 05 | TX | MEDICAID | 8AG655 | 01 | TX | BCBS | OTHER |