Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK DWAYNE EDWARDS
Active Sole ProprietorDERRICK DWAYNE EDWARDS is a Assisted Living Facility healthcare provider located in LITTLE ELM, Texas. NPI 1366156614 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · LITTLE ELM, TX
Registration Details
- NPI Number
- 1366156614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2023 (3.6091435868987 yrs)
- Last Updated
- Jan 11, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
2321 COOLMIST CREEK DRLITTLE ELM, TX, 750680197Browse TX providers · Browse ZIP 75068
- Phone
- 4694816874
- Fax
- 2146180724
- Primary Specialty
-
Assisted Living Facility
310400000X
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.