IndividualActive
John Edeen, M.D.
NPI 1972578565 · Pediatric Orthopaedic Surgery Physician · San Antonio, TX
Provider details
- NPI number
- 1972578565
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- K3719 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4499 Medical Dr
Suite 235
San Antonio, TX 78229-3735
Phone: (210) 692-1613
Fax: (210) 616-0290
Approximate (ZIP-level) locationGet directions
Mailing address
4499 Medical Drive
San Antonio, TX 78229-3712
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2011-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.