MR. Michael J Edwards SR., MINISTER

NPI #1295964088 in Mesquite, Texas

Provider Information

NPI Number: 1295964088
Entity Type: Individual
Name: MR. Michael J Edwards SR., MINISTER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Credential: MINISTER
Enumeration Date: Jul 14, 2009
Last Updated: Jan 20, 2012

Practice Location

Address: 2102 TRADEWIND DR
Address 2: SUITE 172
City: Mesquite
State: Texas
ZIP Code: 75150-3309
Phone: (601) 810-5788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Counselor - Pastoral — Pastoral	101YP1600X
Counselor	101Y00000X
Massage Therapist	225700000X
Acupuncturist	171100000X
Driver	172A00000X
Adult Companion	372600000X
Chore Provider	372500000X
Homemaker	376J00000X	Primary
Religious Nonmedical Practitioner	374K00000X
Interpreter	171R00000X

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