Dr Evan Ethan Edwards, is a
Student In An Organized Health Care Education/training Program based in San Antonio, Texas. Dr Evan Ethan Edwards is licensed to practice in * (Not Available) (license number ) and his current practice location is
8210 Floyd Curl Dr, San Antonio, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 450-3700.
NPI number for Dr Evan Ethan Edwards is 1649971110 and his current mailing address is 8210 Floyd Curl Dr, San Antonio, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649971110.
Healthcare Provider's Profile
| Full Name | Dr Evan Ethan Edwards |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 8210 Floyd Curl Dr, San Antonio, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649971110
- Provider Enumeration Date: 03/13/2023
- Last Update Date: 10/03/2023
Medical Identifiers
Medical identifiers for Dr Evan Ethan Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649971110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 39867 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Evan Ethan Edwards is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Evan Ethan Edwards,
8210 Floyd Curl Dr,
San Antonio, TX 78229-3923
Ph: (210) 450-3700 | Dr Evan Ethan Edwards,
8210 Floyd Curl Dr,
San Antonio, TX 78229-3923
Ph: (210) 450-3700 |
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