Active NPI
Myriam Fillion Edwards
- Physician Assistant
- Azle, TX
National Provider Identifier
1265901219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 604 Southeast Pkwy
Azle, TX 76020-3453 - Phone
- (817) 270-2320
- NPI assigned
- Nov 20, 2018
- Last updated
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
604 Southeast Pkwy
Azle, TX 76020-3453
Mailing address
3525 Twin Pines Dr
Fort Worth, TX 76244-1126
Phone (281) 224-0469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Hudman, M.D., P.a. | Current | Accepting new patients | |
| Topcare Medical Group Inc | Past | Accepting new patients |
Locations
604 Southeast Pkwy
Azle, TX 76020
Phone (817) 270-2320
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1265901219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 TWIN PINES DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762441126",
"telephone_number": "281-224-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 SOUTHEAST PKWY",
"city": "AZLE",
"state": "TX",
"postal_code": "760203453",
"telephone_number": "817-270-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "MYRIAM",
"middle_name": "FILLION",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Azle, TX
- Eagle Mountian Family Dental, PC
- Elizabeth J Edmonson
- Educare Community Living Limited Partnership
- Educare Community Living Limited Partnership
- Educare Community Living Limited Partnership
- Eliteortho Bodywork LLC
- Belinda Gail Ellis, NURSE PRACTITIONER
- Michael G. Ellison, PH.D.
- Emcc Azle Family Practice LLC
- Emcc Azle Physicians PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.