Edwards, Ricky D
Edwards, Ricky D is an individual health care provider with primary practice located at 1223 S Main St , Fort Worth TX 76104-4804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Edwards, Ricky D can be contacted via phone (817) 702-7314.Contact Information
Primary practice address
1223 S Main St
Fort Worth TX 76104-4804
Phone: (817) 702-7314
Fax: (817) 702-7315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E8450 | Texas |
Profile Details
| NPI number | 1457358699 |
|---|---|
| LBN Legal business name | Edwards, Ricky D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Dec 4th, 2012 - about 12 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 | 1457358699 | NPPES |
| Texas | MEDICAID | 1285553-05 |
Popular Providers
-
Trivedi, Beena M.
2919 Markum Drive , Fort Worth TX 76117-4004 -
Lonergan, Frank Raymond
855 Montgomery , Fort Worth TX 76107-2553 -
Liang, Jeffrey E
6001 Harris Pkwy , Fort Worth TX 76132-4103 -
Martens, Willi E.
1301 W 7Th St Suite 121, Fort Worth TX 76102-2651 -
Dambro, Mark Richard
4450 Oak Park Ln # 100685 , Fort Worth TX 76109-9538 -
Roberts, Patricia Lois
2529 E Lancaster Ave Ste A , Fort Worth TX 76103-2253 -
Reddy, Suchita
2919 Markum Dr , Fort Worth TX 76117 -
Hames, Robert
4504 Boat Club Rd Suite 800, Fort Worth TX 76135-7003