Provider Demographics
NPI:1740460732
Name:EDWARDS, DAVID C (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2706 WOODSTREAM LN
Mailing Address - Street 2:SUITE 140
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4334
Mailing Address - Country:US
Mailing Address - Phone:972-332-3366
Mailing Address - Fax:972-332-3375
Practice Address - Street 1:997 RAINTREE CIRCLE
Practice Address - Street 2:SUITE 140
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4950
Practice Address - Country:US
Practice Address - Phone:972-332-3366
Practice Address - Fax:972-332-3375
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2016-04-08
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Provider Licenses
StateLicense IDTaxonomies
TXH4301207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8W9730OtherBLUE CROSS BLUE SHIELD TX
TX8229M0Medicare PIN
TXE67883Medicare UPIN