Individual
AUBREY EDWARDS
Active
Individual
AUBREY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1221872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307116901
—
TX
05
—
307116902
—
TX
01
—
540045100
FIRSTCARE
TX
01
—
878T08
BLUE CROSS BLUE SHIELD
TX
01
—
P01152140
MEDICARE RAILROAD
TX
Enumeration date
08/14/2012
Last updated
04/24/2013
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