Individual
NANCY JEAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6400 FANNIN ST STE 2800, HOUSTON, TX 77030-1534
(713) 704-7100
(713) 704-7150
Mailing address
6400 FANNIN ST STE 2070, HOUSTON, TX 77030-1541
(713) 704-6731
(713) 704-1796
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
P7761
TX
2084N0400X
Neurology Physician
P7761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00106W
MDCR GRP PTAN HARRIS CO
TX
01
—
0035TD
BCBSTX GRP REC #
TX
01
—
153449704
MDCD GRP TPI HARRIS CO
TX
01
—
DB6392
RR MDCR GRP PTAN
TX
Enumeration date
11/30/2008
Last updated
12/17/2021
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