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STEVEN R. EDMONDSON MD PA NPI 1164895355


NPI Information

NPI: 1164895355
Provider Name: STEVEN R. EDMONDSON MD, PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3025 N TARRANT PKWY STE 240
FORT WORTH, TX
ZIP 76177
Phone: (817) 431-1500
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STEVEN R. EDMONDSON MD, PA is an obstetrics gynecology in Fort Worth, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. STEVEN R. EDMONDSON MD, PA NPI is 1164895355. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3025 N TARRANT PKWY STE 240
FORT WORTH, TX
ZIP 76177-620
Phone: (817) 431-1500
Fax: (817) 431-8193

The provider's authorized official is Steven Ray Edmondson .
The authorized official title is Owner/president and has the following contact phone number (817) 431-1500.

The enumeration date for this NPI number is 11/10/2015 and was last updated on 11/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyG8830TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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