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Organization
PATRICK J EDWARDS MD PA
Active
Organization
PATRICK J EDWARDS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JAMES EDWARDS M.D. (PRESIDENT)
(806) 998-5501
Entity
Organization
Contact information
Practice address
2600 LOCKWOOD, SUITE C, TAHOKA, TX 79373
(806) 998-5501
(806) 561-5504
Mailing address
PO BOX 1480, 2600 LOCKWOOD SUITE C, TAHOKA, TX 79373-1480
(806) 998-5501
(806) 561-5504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207Q00000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135749312
—
TX
05
—
201884801
—
TX
01
—
201884802
TEXAS MEDICAID TEXAS HEALTH STEPS
—
Enumeration date
12/10/2008
Last updated
07/13/2009
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