Individual
DAVID E EDGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 E FM 1382 # 3-166, CEDAR HILL, TX 75104-6047
(469) 377-0808
Mailing address
445 E FM 1382 # 3-166, CEDAR HILL, TX 75104-6047
(469) 377-0808
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
TX
Other
Enumeration date
06/18/2019
Last updated
07/20/2020
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