Individual
ANTHONY EDWARDS
Active
Individual
ANTHONY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q4394
TX
207RP1001X
Pulmonary Disease Physician
Primary
10385620-1205
UT
208M00000X
Hospitalist Physician
Q4394
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10044341
STATE OF TEXAS
TX
Enumeration date
05/15/2012
Last updated
10/03/2017
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