Individual
ANTHONY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7201
(214) 645-6784
(214) 645-0078
Mailing address
515 E 100 S STE 200, SALT LAKE CITY, UT 84102-2095
(801) 581-2401
(801) 585-2507
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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