Organization
STEVEN R. EDMONDSON MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN RAY EDMONDSON MD (OWNER/PRESIDENT)
(817) 431-1500
Entity
Organization
Contact information
Practice address
3025 N TARRANT PKWY STE 240, FORT WORTH, TX 76177-8620
(817) 431-1500
(817) 431-8193
Mailing address
3025 N TARRANT PKWY STE 240, FORT WORTH, TX 76177-8620
(817) 431-1500
(817) 431-8193
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G8830
TX
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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