Individual
JOHN WARREN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SAINT MARKS PL, LA GRANGE, TX 78945-1250
(979) 242-2200
Mailing address
8506 DALEVIEW DR, AUSTIN, TX 78757-7513
(248) 330-8127
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R4962
TX
Other
Enumeration date
07/18/2012
Last updated
12/30/2021
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