Individual
GRACE ELIZABETH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6750 E SAM HOUSTON PKWY N STE 100, HOUSTON, TX 77049-2255
(281) 452-2299
Mailing address
6445 MAIN ST STE 2500, HOUSTON, TX 77030-1502
(713) 441-8393
(713) 790-5134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15137
TX
363AM0700X
Medical Physician Assistant
PA15137
TX
363AS0400X
Surgical Physician Assistant
PA15137
TX
Other
Enumeration date
10/04/2022
Last updated
03/13/2024
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