Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD EARL ICAZA, MD
ActiveEDWARD EARL ICAZA, MD is a Neurology healthcare provider located in FORT WORTH, Texas. NPI 1134121940 is currently active in the NPPES registry. Verify at CMS.
Neurology · FORT WORTH, TX
Registration Details
- NPI Number
- 1134121940
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2005 (20.981159398153 yrs)
- Last Updated
- Nov 13, 2024
- Licenses
-
26567 (OK)K9809 (TX)
Practice Information
- Address
-
5801 OAKBEND TRL STE 270FORT WORTH, TX, 761323922Browse TX providers · Browse ZIP 76132
- Phone
- 8176159496
- Fax
- 8555764158
- Primary Specialty
-
Neurology
2084N0400X
- Additional Specialty
- Neurology
Other Neurology Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| DR. MARY QUICENO | M.D. | 1497754162 |
| DR. THOMAS A. LEAVENS | M.D. | 1114910460 |
| KRISHNABABU CHUNDURI | MD | 1154316537 |
| SYED ALI | — | 1396733713 |
| MRS. CHARLECE HUGHES | D.O. | 1326039215 |
| DINESH G BHAMBHVANI | MD | 1386616308 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.