Organization Active NPI

Laura D Edwards MD PA

  • General Practice Physician
  • Katy, TX
National Provider Identifier
1518950849
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E4358 Issued in TX
Legal business name
LAURA D EDWARDS MD PA
Practice address
848 Dominion Dr
Suite 200
Katy, TX 77450-2023
Phone
(281) 578-5479
Fax
(281) 578-9704
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Laura Denise Edwards, MD PA
Title
Owner
Phone
(281) 578-5479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X E4358 TX Primary

Addresses

Primary practice location

848 Dominion Dr
Suite 200
Katy, TX 77450-2023

Mailing address

848 Dominion Dr
Suite 200
Katy, TX 77450-2023
Phone (281) 578-5479

National Provider Directory

National Provider Directory

Locations

848 Dominion Dr
Ste 200
Katy, TX 77450
Phone (281) 578-5479

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518950849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 DOMINION DR",
            "address_2": "SUITE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502023",
            "telephone_number": "281-578-5479",
            "fax_number": "281-578-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 DOMINION DR",
            "address_2": "SUITE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502023",
            "telephone_number": "281-578-5479",
            "fax_number": "281-578-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA D EDWARDS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-578-5479",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "E4358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.