Duwayne P. Edge, P.a.

NPI #1235450404 in Ingleside, Texas

Provider Information

NPI Number: 1235450404
Entity Type: Organization
Organization Name: Duwayne P. Edge, P.a.
Primary Specialty: Family Medicine
Enumeration Date: Jun 22, 2010
Last Updated: Jun 22, 2010

Practice Location

Address: 2605 AMARILLO
City: Ingleside
State: Texas
ZIP Code: 78362-5710
Phone: (361) 775-0961

Authorized Official

Name: DR. DUWAYNE PAUL EDGE, D.O.
Title: PRESIDENT
Phone: (361) 775-0961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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