Icaza, Edward Earl
Icaza, Edward Earl is an individual health care provider with primary practice located at 6080 S Hulen St Ste 360-264 , Fort Worth TX 76132-2622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Icaza, Edward Earl can be contacted via phone (682) 276-4393.Contact Information
Primary practice address
6080 S Hulen St Ste 360-264
Fort Worth TX 76132-2622
Phone: (682) 276-4393
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | K9809 | Texas |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 26567 | Oklahoma |
Profile Details
NPI number | 1134121940 |
---|---|
LBN Legal business name | Icaza, Edward Earl |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2005 |
Last updated | Jun 13th, 2024 - about 6 months 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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