Edgewood Rural Healthh Clinic
Organization Active NPI Family Medicine Physician · Edgewood, TX
NPI 1871909275 · NPPES record last updated Jul 7, 2014
Key facts
- NPI
- 1871909275
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- EDGEWOOD RURAL HEALTHH CLINIC
- Practice address
- 106 East Pine Street
Edgewood, TX 75117 - Phone
- (903) 896-2222
- NPI assigned
- Jul 7, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- RITZ HOSPITALITY, LLC
Authorized official
- Name
- Ali Rizvi
- Title
- President
- Phone
- (903) 896-2222
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Edgewood Rural Healthh Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
106 East Pine Street
Edgewood, TX 75117
Mailing address
106 East Pine Street
Edgewood, TX 75117
Phone (903) 896-2222
Other providers in Edgewood, TX
- Tiffany Dunn
- East Texas Out-Patient PLLC
- East Texas Pediatric Therapy
- Edgewood Drug Inc
- Edgewood Isd
- Gober LLC
- Edith Head
- Julie Ann Higginbotham
- Kayla Hillis
- Dana Hullum
All providers in Edgewood, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2014. 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.