Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edward Earl Icaza, MD

Individual provider Neurology Physician · NPI 1134121940

Edward Earl Icaza, MD is a Neurology in Fort Worth, Texas. Qualified in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Oklahoma and Texas.

Years since qualifying
30
Licensed in
OK, TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5801 Oakbend Trl Ste 270
Fort Worth, TX 76132-3922
Phone: (817) 615-9496
Fax: (855) 576-4158
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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 · Licence 26567 (OK)

Record details

NPI number1134121940
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Worth