TED L EDWARDS JR MD PA
Osteopathic Medicine at Bee Caves Rd, Austin, TX

License number
Texas C8269
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: DR. TED L EDWARDS JR. MD
Title: OWNER
Phone: (512) 327-4886
Address
Address
4201 Bee Caves Rd, Austin, TX 78746
National Provider ID: 1811217367
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TED L. EDWARDS, JR. M.D., PA

Austin, TX

Registration:
Jan 9, 1980
Addresses:
4201 Bee Caves Rd STE B112, Austin, TX 78746 (Mailing)
4201 Bee Cave Rd, Austin, TX 78746
State ID:
0080566903
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member , Vice-President:
Ted L. Edwards (President , Treasurer , Secretary , Director , Member , Vice-President)
Agent:
Ted L. Edwards Jr,4201 Bee Caves Rd, Austin, TX 78746 (Physical)
TIN:
17421184676

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