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Edward E Icaza Md Pa
Neurology Physician in Fort Worth, Texas
NPI 1033295142

Edward E Icaza Md Pa is a Neurology Physician based in Fort Worth, TX and is specialized in Neurology. Edward E Icaza Md Pa practices in Fort Worth, TX. The NPI Number for Edward E Icaza Md Pa is 1033295142 and holds a License No. (Texas).

The current practice location address for Edward E Icaza Md Pa is 5801 Oakbend Trl Ste 270, Fort Worth, TX and can be reached out via phone at 817-615-9496 and via fax at 855-576-4158.

Location: 5801 Oakbend Trl Ste 270, Fort Worth, TX, 76132-3922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033295142
Provider Name
Edward E Icaza Md Pa
Credential
Provider Entity Type
Organization
Address
5801 Oakbend Trl Ste 270, Fort Worth, TX, 76132-3922
Phone Number
817-615-9496
Fax Number
855-576-4158
Provider Enumeration Date
10/31/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
0072JA 01 TX BCBS
K9809 01 TX NEUROLOGIST
institution
Provider Business Practice Location Address Details
Address
5801 Oakbend Trl Ste 270
City
Fort Worth
State
Texas
Zip
76132-3922
Phone Number
817-615-9496
Fax Number
855-576-4158
person
Provider Business Mailing Address Details
Address
5801 Oakbend Trl Ste 270
City
Fort Worth
State
Texas
Zip
76132-3922
Phone Number
817-615-9496
Fax Number
855-576-4158
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
()
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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