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Contact Information

TANISHA EDWARDS
5943 RIDGEWAY DR
GRAND PRAIRIE, TX75052-0444
 Phone: 817-404-7733
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for TANISHA EDWARDS · (Female)

NPI # 1790301141
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2020
Last updated 12/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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