Individual
DR. EDWARD LEWIS DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1406 FITCH ST, SAN ANTONIO, TX 78211-1406
(210) 922-6922
Mailing address
1406 FITCH ST, SAN ANTONIO, TX 78211-1406
(210) 922-6922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18994
OK
207Q00000X
Family Medicine Physician
Primary
L3281
TX
208000000X
Pediatrics Physician
L3281
TX
Other
Enumeration date
03/13/2007
Last updated
07/24/2009
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