Individual provider · NPI-1

Dr. Daniel Neal Edwards, O.D.

Optometrist · Longview, TX

NPI number1003927476
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1003927476
Entity type
Individual (NPI-1)
Name
Dr. Daniel Neal Edwards
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist2601TGTXYes

Practice location

1000 N 4th St
Longview, TX 75601-4737

Phone 903-236-7474 · Fax 903-236-7484

Mailing address

1000 N 4th St
Longview, TX 75601-4737

Phone 903-236-7474 · Fax 903-236-7484

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