EDWARD MAXWELL

SAN ANTONIO, TX
NPI1972515831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA01907)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: TX  PA01907)
Enumeration Date2006-08-12
Last Update Date2013-05-20
Business Address
-- EDWARD MAXWELL PA
4800 FREDERICKSBURG RD SUITE 127
SAN ANTONIO, TX 78229-3628
Phone number: 210-733-5072
Mailing Address
-- EDWARD MAXWELL PA
PO BOX 1239
TROY, MI 48099-1239
Phone number: 248-824-6600