| NPI | 1457729204 |
|---|---|
| Doing Business As | EDGEWATER CLINIC |
| Entity Type | Organization |
| Authorized Contact | KASHIF KHAN President 281-565-2087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |