Edward E Icaza MD PA
Edward E Icaza MD PA is a Neurology Physician in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5801 Oakbend Trl Ste 270Fort Worth, TX 76132-3922
Phone: (817) 615-9496
Fax: (855) 576-4158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology Physician (primary) | Taxonomy 2084N0400X · Licence K9809 (TX) |
|---|---|
| Neurology Physician | Taxonomy 2084N0400X |
Record details
| NPI number | 1033295142 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Icaza — President · (817) 615-9496 |
| Other names | Benbrook Neurology |
| NPI enumerated | October 31, 2006 |
| Last updated in NPPES | November 13, 2024 |
| Certification date | November 13, 2024 |
| Mailing address | 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 |
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Edward Earl Icaza, MD
5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 · (817) 615-9496