Individual
DR. GREGORY ASHTON EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
802 MEDICAL DR, SUITE 400, LONGVIEW, TX 75605-5100
(903) 757-7871
(903) 753-2479
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(729) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
L3632
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150512504
—
TX
05
—
150512506
—
TX
Enumeration date
03/08/2006
Last updated
12/23/2021
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