Individual
DR. JEFFREY DARREN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5302 BUFFALO GAP ROAD, SUITE 104, ABILENE, TX 79606
(325) 307-6226
(325) 307-6288
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(253) 076-2263
(325) 307-6288
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10043538
TX
207R00000X
Internal Medicine Physician
Primary
P9187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10043538
PHYSICIAN-IN-TRAINING PERMIT FROM TEXAS MEDICAL BOARD
TX
Enumeration date
04/11/2012
Last updated
01/08/2019
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