Dr. John Charles Edlin
Mental Health Counselor Adolescent Medicine
12800 Hillcrest Rd Suite 216
Dallas
, Texas 75230-1524
Dr. John Charles Edlin
Mental Health Counselor Adolescent Medicine
12800 Hillcrest Rd Suite 216
Dallas
, Texas 75230-1524
(972) 404-9609
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About
Features
Specialties
- Mental Health Counselor
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. John Charles Edlin
- 12800 Hillcrest Rd Suite 216
- Dallas, TX
- Zip : 75230-1524
- Fax : (972) 404-9609
- Phone : (972) 239-9252
Second Address
- Dr. John Charles Edlin
- 12800 Hillcrest Rd Suite 216
- Dallas, TX
- Zip : 75230-1524
- Fax : (972) 404-9609
- Phone : (972) 239-9252
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YM0800X | Mental Health Counselor | ||
| N | 2080A0000X | Adolescent Medicine | E1307 | TX |
National Provider Identifier
| NPI | 1114936614 |
|---|---|
| Provider Name | Dr. John Charles Edlin |
| First Address | Dallas, TX 75230-1524 |
| Second Address | Dallas, TX 75230-1524 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 886542 | BLUE CROSS BLUE SHIELD (01) | TX |
| E80368 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.