Individual
JESSICA LEE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2454 E AUSTIN ST, GIDDINGS, TX 78942-3636
(281) 583-1980
Mailing address
2454 E AUSTIN ST, GIDDINGS, TX 78942-3636
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11951
TX
Other
Enumeration date
04/11/2018
Last updated
05/26/2018
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