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Organization
LEO K. EDWARDS JR
Active
Organization
LEO K. EDWARDS JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO K EDWARDS JR. M.D. (OWNER)
(210) 225-5047
Entity
Organization
Contact information
Practice address
2011 E HOUSTON ST, SUITE #104 C, SAN ANTONIO, TX 78202-2916
(210) 225-5047
(210) 225-7951
Mailing address
2011 E HOUSTON ST, SUITE #104 C, SAN ANTONIO, TX 78202-2916
(210) 225-5047
(210) 225-7951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F1524
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035375701
—
TX
01
—
1750313442
NPI (INDIVIDUAL)
TX
Enumeration date
06/20/2013
Last updated
06/20/2013
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