MEDICARE: EDWARDS DFW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center
2	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1275308991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDWARDS DFW

Provider Business Mailing Address
First Line	:	2205 CORDILLERA WAY
Second Line	:
City	:	EDWARDS
State	:	CO
Zip	:	81632-6290
Country	:	US
Telephone Number	:	737-247-1223
Fax Number	:

Provider Business Practice Location Address
First Line	:	5637 N TARRANT PKWY STE B
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-7321
Country	:	US
Telephone Number	:	855-934-1178
Fax Number	:

Authorized Official
Title or Position	:	REVENUE CYCLE ADMIN
Name	:	DR. ASHLEY BLAIR ELDER
Credential	:	PHD
Telephone Number	:	737-247-1223

Provider Enumeration Date	:	11/22/2023
Last Update Date	:	04/02/2024

Similar Medicare Providers

1962289280 — CSMN OPERATIONS TX, LLC
Practice Location Address:

5637 N TARRANT PKWY
FORT WORTH, TX
76244-7321

Practice Phone: 432-553-9227
Practice Fax:

1972350353 — MR. DAVID REESE HOOPER LPC
Practice Location Address:

5637 N TARRANT PKWY
FORT WORTH, TX
76244-7321

Practice Phone: 817-803-6356
Practice Fax:

1164267316 — APN DFW MENTAL HEALTH
Practice Location Address:

5637 N TARRANT PKWY STE D
FORT WORTH, TX
76244-7321

Practice Phone: 682-708-0282
Practice Fax:

1942853221 — ASHANTAY MOORE
Practice Location Address:

7468 TALLOW WIND TRL APT F
FORT WORTH, TX
76133-7321

Practice Phone: 817-757-8287
Practice Fax:

1740898865 — MRS. SUZETTE W LINDGREN FNP
Practice Location Address:

7321 VIA LURIA
LAKE WORTH, FL
33467-5254

Practice Phone: 561-951-3777
Practice Fax:

1689975161 — MR. WILLIAM LANE PHILLIPS JR. ARNP
Practice Location Address:

3424 FOWLER ST
FORT MYERS, FL
33901-7321

Practice Phone: 239-940-7403
Practice Fax:

Directions to “EDWARDS DFW ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.