Basic Information
| Provider Information | |||||||||
| NPI: | 1215089214 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EDWARDS | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | NASH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | ADAVANCED HEART CARE PA, 8150 N CENTRAL EXPRESSWAY | ||||||||
| Address2: | STE M-1001 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752061884 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2142210022 | ||||||||
| FaxNumber: | 2146918292 | ||||||||
| Practice Location | |||||||||
| Address1: | 7505 OSLER DRIVE | ||||||||
| Address2: | SUITE 409 | ||||||||
| City: | TOWSON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212047739 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103215651 | ||||||||
| FaxNumber: | 4105830134 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/18/2007 | ||||||||
| LastUpdateDate: | 05/25/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | D0063844 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | D0063844 | MD | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.