Organization
TED L EDWARDS JR MD PA
Active
Parent organization
TED L EDWARDS JR MD PA
Other names
The Hills Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
TED L EDWARDS JR MD PA
Authorized official
DR. TED L EDWARDS JR. MD (OWNER)
(512) 327-4886
Entity
Organization
Contact information
Practice address
4201 BEE CAVES RD, WEST LAKE HILLS, TX 78746-6465
(512) 327-4886
(512) 327-4958
Mailing address
4201 BEE CAVES RD, WEST LAKE HILLS, TX 78746-6465
(512) 327-4886
(512) 327-4958
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C8269
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB103937
MEDICARE PTAN
TX
Enumeration date
06/07/2010
Last updated
02/16/2016
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