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Dr. Evan Ethan Edwards
Student in an Organized Health Care Education/Training Program in San Antonio, Texas
NPI 1649971110

Evan Ethan Edwards is a Student in an Organized Health Care Education/Training Program based in San Antonio, TX. Evan Ethan Edwards practices in San Antonio, TX. The NPI Number for Evan Ethan Edwards is 1649971110 and holds a License No. 39867 (Texas).

The current practice location address for Evan Ethan Edwards is 8210 Floyd Curl Dr, San Antonio, TX and can be reached out via phone at 210-450-3700.

Location: 8210 Floyd Curl Dr, San Antonio, TX, 78229-3923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649971110
Provider Name
Evan Ethan Edwards
Credential
Provider Entity Type
Individual
Gender
Male
Address
8210 Floyd Curl Dr, San Antonio, TX, 78229-3923
Phone Number
210-450-3700
Fax Number
Provider Enumeration Date
03/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8210 Floyd Curl Dr
City
San Antonio
State
Texas
Zip
78229-3923
Phone Number
210-450-3700
Fax Number
person
Provider Business Mailing Address Details
Address
8210 Floyd Curl Dr
City
San Antonio
State
Texas
Zip
78229-3923
Phone Number
210-450-3700
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
39867 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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