Individual
MRS. MARIAH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 ALLIED DR, PLANO, TX 75093-5348
(713) 790-2089
Mailing address
1500 NAVASOTA TRL, PLANO, TX 75075-1216
(580) 284-6530
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
TX
Other
Enumeration date
11/06/2018
Last updated
01/05/2021
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