Individual
JUANITA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21216 NORTHWEST FWY STE 280, CYPRESS, TX 77429-0017
(281) 517-0060
(281) 475-2045
Mailing address
P.O. BOX 106 DEPT #701, HOUSTON, TX 77001-0106
(281) 517-0060
(281) 475-2045
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
M7161
TX
208VP0014X
Interventional Pain Medicine Physician
M7161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200662901
—
TX
05
—
200662902
—
TX
05
—
200662903
—
TX
05
—
200662904
—
TX
01
—
8BH922
BLUE CROSS BLUE SHIELD
TX
01
—
P00696343
RAILROAD MEDICARE
TX
01
—
P00722349
RAILROAD MEDICARE
TX
01
—
P00976901
RAILROAD MEDICARE
TX
Enumeration date
04/12/2007
Last updated
11/29/2021
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