Individual
DERRICK DWAYNE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2321 COOLMIST CREEK DR, LITTLE ELM, TX 75068-0197
(469) 481-6874
(214) 618-0724
Mailing address
2321 COOLMIST CREEK DR, LITTLE ELM, TX 75068-0197
(469) 481-6874
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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