JERRY V EDWARDS P.A. NPI 1801839931

NPI Information

NPI: 1801839931
Provider Name: JERRY V EDWARDS, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
6410 FANNIN ST
1020
HOUSTON, TX
ZIP 77030
Phone: (832) 325-7090
Get Directions

Jerry V Edwards, P.A. is a surgical physician assistant in Houston, TX. Jerry V Edwards, P.A. NPI is 1801839931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6410 FANNIN ST
1020
HOUSTON, TX
ZIP 77030-000
Phone: (832) 325-7090

The enumeration date for this NPI number is 6/14/2006 and was last updated on 12/3/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA00354	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R56192	MEDICARE UPIN	TEXAS
2	970011649	MEDICARE PIN	TEXAS
3	183223001	MEDICAID	TEXAS
4	83N058	MEDICARE PIN	TEXAS
5	87N145	OTHER	TEXAS	BCBS

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

NPI Synchronization or Removal

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