Provider Demographics
NPI:1811987472
Name:EDWARDS, THOMAS W (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:W
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4549 RIVER PARK DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-5672
Mailing Address - Country:US
Mailing Address - Phone:361-814-7246
Mailing Address - Fax:361-814-7009
Practice Address - Street 1:3636 S ALAMEDA ST
Practice Address - Street 2:LEVEL II, STE A
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1723
Practice Address - Country:US
Practice Address - Phone:361-814-7246
Practice Address - Fax:361-814-7009
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG2690207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC15442Medicare UPIN
TX8D3220Medicare ID - Type Unspecified