NPI 1497222343

Edge-Md Holding PLLC

Organisation Physiological Laboratory Irving, TX

Practice location

Address: 1200 W Walnut Hill Ln STE 1300, Irving, TX 75038-3050
Phone: (972) 514-1672

Authorised official

Name: Andrea Carrillo
Title: Manager
Phone: (512) 920-3107

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Texas →

Registry record

NPI: 1497222343
Entity type: Organization
NPI issued: 30 Oct 2018
Record last updated: 30 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.