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Tanisha Edwards
NPI 1790301141 · on the registry since 2020
Practice
- Address
- 5943 Ridgeway Dr
Grand Prairie, TX 75052 - Phone
- (817) 404-7733
Registry record
- Primary taxonomy
- 372500000X
372500000X
- Also registered as
- 171M00000X
372600000X
373H00000X
3747A0650X
3747P1801X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas