| Ben Edwards Pa | |
|
1802 E 50th Street Suite 104 Lubbock TX 79404-4006 | |
| (806) 771-1160 | |
| (806) 771-1162 |
| Full Name | Ben Edwards Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1802 E 50th Street, Lubbock, Texas |
| Authorized Official Name and Position | William Ben Edwards (OWNER) |
| Authorized Official Contact | 8069902048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Edwards Pa 1802 E 50th Street Suite 104 Lubbock TX 79404-4006 Ph: (806) 771-1160 | Ben Edwards Pa 1802 E 50th Street Suite 104 Lubbock TX 79404-4006 Ph: (806) 771-1160 |
| NPI Number | 1447289517 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 11/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447289517 | NPI | - | NPPES |
| 182156301 | Medicaid | TX | |
| 144297101 | Other | FIRST CARE | |
| 0057NP | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L7364 (Texas) | Primary |
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