# EDGE MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDGE MEDICAL SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821535188
- **Legal business name:** EDGE MEDICAL SERVICES
- **Authorized official:** VICTORIA LEE (ADMIN)
- **Authorized official phone:** (210) 787-8344

## Contact information

- **Practice address:** 520 JUDSON AVE, EVANSTON, IL 60202-3084
- **Practice address phone:** (210) 787-8344
- **Practice address fax:** (866) 399-0991
- **Mailing address:** 1141 N LOOP 1604 E \# 105187, SAN ANTONIO, TX 78232-1339
- **Mailing address fax:** (866) 399-0991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2017
- **Last updated:** 01/25/2017