Derrick Dwayne Edwards

Assisted Living Facility · Little Elm, TX

Individual Active NPI

NPI number 1366156614

Practice location

2321 Coolmist Creek Dr
Little Elm, TX 75068-0197
Phone
(469) 481-6874
Fax
(214) 618-0724

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NPI record

NPI
1366156614
Entity type
Individual (Type 1)
Enumeration date
January 11, 2023
Last updated
January 11, 2023
Certified
January 11, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assisted Living Facility Primary 310400000X — —

About Derrick Edwards

Derrick Dwayne Edwards is a healthcare provider registered in the NPI registry with the primary taxonomy Assisted Living Facility (code 310400000X). The practice location is 2321 Coolmist Creek Dr, Little Elm, TX 75068-0197. The NPI number 1366156614 was assigned on January 11, 2023 and the record was last updated on January 11, 2023.

Frequently asked questions

What is the NPI number of Derrick Dwayne Edwards?

The NPI number is 1366156614.

What is the phone number of Derrick Edwards?

The phone number listed for the practice location is (469) 481-6874.

Where is Derrick Edwards located?

2321 Coolmist Creek Dr, Little Elm, TX 75068-0197.

What is the taxonomy code for Derrick Edwards?

The primary taxonomy code is 310400000X – Assisted Living Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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