Steven Ray Edmondson, MD

NPI #1164429890 in Fort Worth, Texas

Provider Information

NPI Number: 1164429890
Entity Type: Individual
Name: Steven Ray Edmondson, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Obstetrics & Gynecology
Credential: MD
Enumeration Date: Jul 7, 2005
Last Updated: Oct 15, 2016

Practice Location

Address: 3025 N TARRANT PKWY
Address 2: SUITE 240
City: Fort Worth
State: Texas
ZIP Code: 76177-8620
Phone: (817) 431-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Gynecology — Gynecology	207VG0400X
Obstetrics & Gynecology	207V00000X	Primary
Obstetrics & Gynecology - Obstetrics — Obstetrics	207VX0000X

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