David Edwards, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4461 Issued in TX

Practice address

6711 S New Braunfels Ave Ste 100
San Antonio, TX 78223-3002

Phone

(210) 531-7805

Fax

(210) 531-8172

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Imaging, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Humble, TX
  • NPI 1902835895
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154476505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 S NEW BRAUNFELS AVE STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233002",
            "telephone_number": "210-531-7805",
            "fax_number": "210-531-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 S NEW BRAUNFELS AVE STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233002",
            "telephone_number": "210-531-7805",
            "fax_number": "210-531-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DAVID",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "4461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward E Horvath DO PA
• Abby Edwards, PTA
• Amber Edwards, M.A., LCDC
• Amilliana Edwards
• Chelsea Lauren Edwards, MDS, RD, LD
• Ethel L Edwards, LMFT, LMSW
• Eugia Edwards, PSY.D.
• Evan Ethan Edwards
• Evie Marie Edwards, LPC-ASSOCIATE
• Frida Edwards

• Clinical Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.