Organization
EDGE MEDICAL SERVICES
Active
Parent organization
EDGE MEDICAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDGE MEDICAL SERVICES
Authorized official
VICTORIA LEE (ADMIN)
(210) 787-8344
Entity
Organization
Contact information
Practice address
520 JUDSON AVE, EVANSTON, IL 60202-3084
(210) 787-8344
(866) 399-0991
Mailing address
1141 N LOOP 1604 E # 105187, SAN ANTONIO, TX 78232-1339
(866) 399-0991
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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