Edwards, Ted Leroy

Edwards, Ted Leroy is an sole proprietor health care provider with primary practice located at 4201 Bee Cave Rd B112, West Lake Hills TX 78746-6465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Edwards, Ted Leroy can be contacted via phone (512) 327-4886.

Contact Information

Primary practice address
4201 Bee Cave Rd B112 West Lake Hills TX 78746-6465
Fax: (512) 327-4958
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X C8269 Texas

Profile Details

NPI number 1780744524
LBN Legal business name Edwards, Ted Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Oct 25th, 2010 - about 15 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 1780744524 NPPES
Texas Other TXB103938 MEDICARE PTAN

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