Healthcare Provider Details

I. General information

NPI: 1013024892
Provider Name (Legal Business Name): DEBORAH KAY EDWARDS HTL(ASCP)QIHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 HOLCOMBE BLVD LAB 113
HOUSTON TX
77459-4211
US

IV. Provider business mailing address

2734 TURNING ROW LN
MISSOURI CITY TX
77459-4340
US

V. Phone/Fax

Practice location:
  • Phone: 713-794-7259
  • Fax: 713-794-7657
Mailing address:
  • Phone: 281-437-3176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QH0600X
TaxonomyHistology Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: