Individual
EDWARD KENT MYERS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
217 SAM HOUSTON JONES PKWY STE 102, LAKE CHARLES, LA 70611-5644
(337) 430-4262
(337) 430-4263
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08154
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2393413
—
LA
Enumeration date
01/21/2015
Last updated
03/08/2017
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