Edwards, Juanita
Edwards, Juanita is an individual health care provider with primary practice located at 21216 Northwest Fwy Ste 280 , Cypress TX 77429-0017. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Edwards, Juanita can be contacted via phone (281) 517-0060.Contact Information
Primary practice address
21216 Northwest Fwy Ste 280
Cypress TX 77429-0017
Phone: (281) 517-0060
Fax: (281) 475-2045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | M7161 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | M7161 | Texas |
Profile Details
| NPI number | 1659595478 |
|---|---|
| LBN Legal business name | Edwards, Juanita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Nov 29th, 2021 - about 4 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 | 1659595478 | NPPES |
| Texas | MEDICAID | 200662904 | |
| Texas | MEDICAID | 200662902 | |
| Texas | Other | P00722349 | |
| Texas | MEDICAID | 200662903 | |
| Texas | Other | P00696343 | |
| Texas | Other | P00976901 | |
| Texas | Other | 8BH922 | |
| Texas | MEDICAID | 200662901 |
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