# EDGEWOOD RURAL HEALTHH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RITZ HOSPITALITY, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871909275
- **Legal business name:** RITZ HOSPITALITY, LLC
- **Authorized official:** ALI RIZVI (PRESIDENT)
- **Authorized official phone:** (903) 896-2222

## Contact information

- **Practice address:** 106 EAST PINE STREET, EDGEWOOD, TX 75117
- **Practice address phone:** (903) 896-2222
- **Mailing address:** 106 EAST PINE STREET, EDGEWOOD, TX 75117
- **Mailing address phone:** (903) 896-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2014
- **Last updated:** 07/07/2014