Edwards, Brian B
Edwards, Brian B is an individual health care provider with primary practice located at 3000 N Garfield St Suite 215, Midland TX 79705-6400. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Edwards, Brian B can be contacted via phone (432) 694-8509.Contact Information
Primary practice address
3000 N Garfield St Suite 215
Midland TX 79705-6400
Phone: (432) 694-8509
Fax: (432) 682-1442
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 6401 | Texas |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 19395 | Texas |
Profile Details
NPI number | 1023054301 |
---|---|
LBN Legal business name | Edwards, Brian B |
Credentials | LPC/LCDC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2006 |
Last updated | May 19th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023054301 | NPPES |
Texas | MEDICAID | 175008501 |
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