Organization
EDGERTON HEALTH LTD LLP
Active
Other names
Premier Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
SCREVEN T EDGERTON MD (OWNER)
(512) 459-4405
Entity
Organization
Contact information
Practice address
1010 W 9TH ST, AUSTIN, TX 78703-4924
(512) 459-4405
Mailing address
1010 W 9TH ST, AUSTIN, TX 78703-4924
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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