Individual
DR. IVAN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6502 BANDERA RD STE 102, SAN ANTONIO, TX 78238-1445
(210) 474-6788
(210) 571-4105
Mailing address
6502 BANDERA RD STE 102, SAN ANTONIO, TX 78238-1445
(210) 474-6788
(210) 571-4105
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N6275
TX
Other
Enumeration date
11/07/2006
Last updated
10/31/2023
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