Active NPI
Patrick J Edwards MD PA
- Family Medicine Physician
- Tahoka, TX
National Provider Identifier
1295970952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 207Q00000X
- Legal business name
- PATRICK J EDWARDS MD PA
- Practice address
- 2600 Lockwood
Suite C
Tahoka, TX 79373 - Phone
- (806) 998-5501
- Fax
- (806) 561-5504
- NPI assigned
- Dec 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patrick James Edwards, M.D.
- Title
- President
- Phone
- (806) 998-5501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 207Q00000X | TX | Primary |
Addresses
Primary practice location
2600 Lockwood
Suite C
Tahoka, TX 79373
Mailing address
PO Box 1480
2600 Lockwood Suite C
Tahoka, TX 79373-1480
Phone (806) 998-5501
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201884802 | Other | TEXAS MEDICAID TEXAS HEALTH STEPS | |
| 135749312 | Medicaid | TX | |
| 201884801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247443200000",
"number": "1295970952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1480",
"address_2": "2600 LOCKWOOD SUITE C",
"city": "TAHOKA",
"state": "TX",
"postal_code": "793731480",
"telephone_number": "806-998-5501",
"fax_number": "806-561-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 LOCKWOOD",
"address_2": "SUITE C",
"city": "TAHOKA",
"state": "TX",
"postal_code": "79373",
"telephone_number": "806-998-5501",
"fax_number": "806-561-5504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICK J EDWARDS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-10",
"last_updated": "2009-07-13",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "806-998-5501",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "207Q00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAID TEXAS HEALTH STEPS",
"identifier": "201884802",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135749312",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201884801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tahoka, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.