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Individual

AMY LYNN EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1405 W JEFFERSON ST, WAXAHACHIE, TX 75165-2231
(972) 923-7178
Mailing address
9125 CALVERT RD, LANTANA, TX 76226-6452
(972) 922-9561

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02832
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
281894001
TX
05
281894002
TX
05
281894003
TX
01
PA02832
PHYSICIAN ASSISTANTS
TX
Enumeration date
08/07/2006
Last updated
10/17/2011
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