Deborah Edwards
Individual provider Active NPI Registered Nurse · Garrison, TX
NPI 1104479377 · NPPES record last updated Jul 17, 2019
Key facts
- NPI
- 1104479377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 678525 (TX)
- Practice address
- 23529 N FM 95
Garrison, TX 75946-6336 - Phone
- (936) 554-4891
- NPI assigned
- Jul 17, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 678525 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 678525 | TX | Yes |
Addresses
Primary practice location
23529 N FM 95
Garrison, TX 75946-6336
Mailing address
23529 N FM 95
Garrison, TX 75946-6336
Phone (365) 544-4891
Other providers in Garrison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.