Individual
DR. FLORA EDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
902 REBEL RD, KYLE, TX 78640-9478
(512) 268-2613
(512) 268-2615
Mailing address
902 REBEL RD, KYLE, TX 78640-9478
(512) 268-2613
(512) 268-2615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L3539
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156303301
—
TX
05
—
156303304
—
TX
05
—
156303305
—
TX
01
—
293398YLPS
WELLMED PTAN
TX
Enumeration date
02/10/2006
Last updated
10/13/2015
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