Individual
DIANE IHEZIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 927-8299
Mailing address
6314 N MACARTHUR BLVD APT 4051, IRVING, TX 75039-6102
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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