Individual
DAVID SANJEEV EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH ST, MS 8143, LUBBOCK, TX 79430-0002
(806) 743-2757
(806) 743-2563
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
N3628
TX
207R00000X
Internal Medicine Physician
Primary
N3628
TX
208000000X
Pediatrics Physician
N3628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200507620A
—
KS
Enumeration date
07/05/2007
Last updated
12/02/2021
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