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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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