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Individual

LAYLA F EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6100 HARRIS PKWY, FORT WORTH, TX 76132-4101
(817) 433-2110
Mailing address
6100 HARRIS PKWY, FORT WORTH, TX 76132-4101
(817) 433-2110

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M8639
TX
208M00000X
Hospitalist Physician
Primary
M8639
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
137345810
CSHCN GROUP
TX
01
140442852
MEDICAID GROUP
TX
05
196580801
TX
01
196580802
CSHCN
TX
01
8A3824
BCBS
Enumeration date
05/31/2007
Last updated
11/14/2012
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