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Steven Ray Edmondson, MD
Obstetrics Physician in Fort Worth, Texas
NPI 1164429890

Steven Ray Edmondson is a Obstetrics Physician based in Fort Worth, TX and is specialized in Obstetrics. Steven Ray Edmondson practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Steven Ray Edmondson is 1164429890 and holds a License No. G8830 (Texas).

The current practice location address for Steven Ray Edmondson is 3025 N Tarrant Pkwy, Fort Worth, TX and can be reached out via phone at 817-431-1500.

Location: 3025 N Tarrant Pkwy, Fort Worth, TX, 76177-8620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164429890
Provider Name
Steven Ray Edmondson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3025 N Tarrant Pkwy, Fort Worth, TX, 76177-8620
Phone Number
817-431-1500
Fax Number
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
131769510 05 TX
83022Y 01 TX BLUE CROSS BLUE SHIELD
131769508 05 TX
109380901 05 TX
131769502 05 TX
131769509 05 TX
0737147 01 TX UNITED HEALTHCARE
2357545 01 TX AETNA
institution
Provider Business Practice Location Address Details
Address
3025 N Tarrant Pkwy
City
Fort Worth
State
Texas
Zip
76177-8620
Phone Number
817-431-1500
Fax Number
person
Provider Business Mailing Address Details
Address
3025 N Tarrant Pkwy
City
Fort Worth
State
Texas
Zip
76177-8620
Phone Number
817-431-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
G8830 (Texas)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
G8830 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
G8830 (Texas)
Definition
Definition to come...
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