Organization
TERRY W. EDWARDS LSA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY W EDWARDS LSA (OWNER)
(281) 463-6309
Entity
Organization
Contact information
Practice address
16151 CAIRNWAY DR STE 210, HOUSTON, TX 77084-3555
(281) 463-6309
(281) 463-6835
Mailing address
PO BOX 841049, HOUSTON, TX 77284-1049
(281) 463-6309
(281) 463-6835
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00256
TX
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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