Individual
SCREVEN T EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12200 RENFERT WAY, STE 100, AUSTIN, TX 78758-5614
(512) 451-8211
(512) 452-7947
Mailing address
2416 SHIRE RIDGE DR, AUSTIN, TX 78732-2062
(512) 299-5955
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M1080
TX
Other
Enumeration date
06/14/2005
Last updated
08/05/2010
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