| Dr Dralves G Edwards, DO | |
|
777 E Wheatland Rd Ste 106, Duncanville, TX 75116-4918 | |
| (972) 685-5094 | |
| (972) 685-5108 |
| Full Name | Dr Dralves G Edwards |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 777 E Wheatland Rd Ste 106, Duncanville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568401701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G2689 (Texas) | Secondary |
| 208D00000X | General Practice | G2689 (Texas) | Primary |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Glc Wellness Center Texas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700433653 PECOS PAC ID: 0143658906 Enrollment ID: O20200310002430 |
| Entity Name | Small Hospital Innovations Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20220124000512 |
| Entity Name | Dg Edwards Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699384115 PECOS PAC ID: 9931586419 Enrollment ID: O20220523001898 |
| Entity Name | Ies Central Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003523002 PECOS PAC ID: 3476922576 Enrollment ID: O20221213000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dralves G Edwards, DO 861 Sw 78th Ave, Suite 100b, Plantation, FL 33324-3229 Ph: (954) 693-0000 | Dr Dralves G Edwards, DO 777 E Wheatland Rd Ste 106, Duncanville, TX 75116-4918 Ph: (972) 685-5094 |