Individual
DR. EDWARD E BRIDGES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WARRIOR TRANSITION BATTALION, FORT SAM HOUSTON, TX 78234
(210) 808-6676
Mailing address
2727 TREBLE CRK APT 821, SAN ANTONIO, TX 78258-4555
(301) 456-5397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101241508
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101241508
MEDICAL LICENSE
VA
Enumeration date
04/12/2007
Last updated
10/17/2019
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