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Individual

DR. KIMBERLY CRUZITA AVILA EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L4357
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152555201
TX
05
152555202
TX
05
152555205
TX
05
152555206
TX
Enumeration date
09/20/2006
Last updated
07/31/2012
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