Edwards, Kathryn Gail

Edwards, Kathryn Gail is an individual health care provider with primary practice located at 801 Cherry St St 400, Lb#49, Fort Worth TX 76102-6803. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Edwards, Kathryn Gail can be contacted via phone (682) 885-6800.

Contact Information

Primary practice address
801 Cherry St St 400, Lb#49 Fort Worth TX 76102-6803
Phone: (682) 885-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 0101239704 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N1620 Texas

Profile Details

NPI number 1235184094
LBN Legal business name Edwards, Kathryn Gail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Aug 3rd, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235184094 NPPES
Texas Other 205616002 CSHCN
Texas MEDICAID 010260221 CSHCN
Texas MEDICAID 205616001 CSHCN
Texas Other 8CB421 CSHCN

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