Derrick Dwayne Edwards
NPI #1366156614 in Little Elm, Texas
Provider Information
- NPI Number
- 1366156614
- Entity Type
- Individual
- Name
- Derrick Dwayne Edwards
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 11, 2023
- Last Updated
- Jan 11, 2023
Practice Location
- Address
- 2321 COOLMIST CREEK DR
- City
- Little Elm
- State
- Texas
- ZIP Code
- 75068-0197
- Phone
- (469) 481-6874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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