Phillip A Edwards (NPI# 1871020768, PAC ID# 9032489802) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1871020768 |
| PAC ID by PECOS | 9032489802 |
| Professional Enrollment ID | I20170727000331 |
| Full Name | Phillip A Edwards |
| Organization Legal Name | BONNETTE ELITE PHYSICAL THERAPY AND WELLNESS |
| Address |
9628 Bartlett Cir Suite 300 Fort Worth TX 76108-4447 |
| Phone Number | 8178629665 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1759671399 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9628 Bartlett Cir, Suite 300, Fort Worth, TX 76108-4447 | 8178629665 | BONNETTE ELITE PHYSICAL THERAPY AND WELLNESS |
| 9628 Bartlett Cir, Fort Worth, TX 76108-4447 | 8178629665 | BONNETTE ELITE PHYSICAL THERAPY AND WELLNESS |
| Organization Legal Name | BONNETTE ELITE PHYSICAL THERAPY AND WELLNESS |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Brown | Physical Therapy | Bonnette Elite Physical Therapy and Wellness | 6049 S Hulen St, Suite 113, Fort Worth, TX 76132-4815 |
| Street Address |
9628 BARTLETT CIR SUITE 300 |
| City | FORT WORTH |
| State | TX |
| Zip | 76108-4447 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tuanh Phan La | Optometry | 9500 Clifford St, Fort Worth, TX 76108-4403 | |
| Jimmy T Ruland | Chiropractic | Todd Ruland Dc PC | 9608 Bartlett Cir, Suite 130, Fort Worth, TX 76108-4449 |
| Andrew D Renaud | Chiropractic | Todd Ruland Dc PC | 9608 Bartlett Cir, Suite 130, Fort Worth, TX 76108-4449 |
| Stephen E Sanders | Chiropractic | Todd Ruland Dc PC | 9608 Bartlett Cir, Suite 130, Fort Worth, TX 76108-4449 |
| Cindy L Atwell | Physician Assistant | 9668 Bartlett Cir, Fort Worth, TX 76108-4467 | |
| Mary C Howard | Clinical Social Worker | 1205 N Rhea Dr, Fort Worth, TX 76108-6400 |
| City | FORT WORTH |
| Zip Code | 76108 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FORT WORTH + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Phillip A Edwards.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.