DUWAYNE P. EDGE, P.A.
Marriage and Family Therapists at Amarillo, Ingleside On The Bay, TX

License number
Texas J6416
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. DUWAYNE PAUL EDGE D.O.
Title: PRESIDENT
Phone: (361) 775-0961
Address
Address
2605 Amarillo St, Ingleside On The Bay, TX 78362
National Provider ID: 1235450404
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DUWAYNE P. EDGE, P.A. at bizstanding.com

DUWAYNE P. EDGE, PA

Ingleside on the Bay, TX

Status:
Inactive
Registration:
Jun 13, 2001
Addresses:
PO Box 1507, Ingleside, TX 78362 (Mailing)
2605 Amarillo St, Ingleside on the Bay, TX 78362
State ID:
0082306603
Business type:
Professional Association
President , Member , Director:
Duwayne P. Edge President , Member , Director, inactive
Agent:
Duwayne P Edge,Ingleside Clinic, Ingleside, TX 78362 (Physical)
TIN:
32035982456

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