Edward E Icaza Md Pa

LBN: Edward E Icaza Md Pa
Edward E Icaza Md Pa is an health care organization with primary practice located at 6080 S Hulen St Ste 360-264 , Fort Worth TX 76132-2622. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Edward E Icaza Md Pa can be contacted via phone (682) 276-4393, or through Icaza, Edward Earl via phone (214) 385-1985.

Contact Information

Primary practice address
6080 S Hulen St Ste 360-264 Fort Worth TX 76132-2622
Phone: (682) 276-4393
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Icaza, Edward Earl
Phone: (214) 385-1985

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X K9809 Texas

Profile Details

NPI number 1033295142
LBN Legal business name Edward E Icaza Md Pa
DBA Doing business as
Authorized official Icaza, Edward Earl
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Jun 12th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033295142 NPPES
Texas Other 0072JA BCBS
Texas Other K9809 BCBS

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