Individual
JENIFER ELIZABETH EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
(254) 553-3944
Mailing address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
(254) 553-3944
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
V3854
TX
Other
Enumeration date
04/13/2018
Last updated
03/14/2025
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