NPI: 1235450404 · INGLESIDE, TX 78362 · Family Medicine Physician · NPI assigned 06/22/2010
| Authorized Official | EDGE, DUWAYNE (PRESIDENT) |
| NPI Enumeration Date | 06/22/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 80 | $0.00 |
| 2019 | 98 | $272.80 |
| 2020 | 13 | $93.88 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99335 | 191 | 186 | $366.68 |