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EDWARD E ICAZA MD PA NPI 1033295142


NPI Information

NPI: 1033295142
Provider Name: EDWARD E ICAZA MD PA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
23920 KATY FREEWAY
#405
KATY, TX
ZIP 77494
Phone: (832) 437-8375
Get Directions

EDWARD E ICAZA MD PA is a neurology psychiatry neurology in Katy, TX. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. EDWARD E ICAZA MD PA NPI is 1033295142. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

23920 KATY FREEWAY
#405
KATY, TX
ZIP 77494
Phone: (832) 437-8375
Fax: (832) 437-2813

The provider's authorized official is Edward E Icaza .
The authorized official title is Owner and has the following contact phone number (832) 437-8375.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 4/4/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyNo
22084N0400XPsychiatry & NeurologyNeurologyK9809TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1TXB138278MEDICARE PINTEXAS
20072JAOTHERTEXASBCBS
3K9809OTHERTEXASNEUROLOGIST
48720B6MEDICARE ID-TYPE UNSPECIFIEDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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