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

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1770105678

Regina Renee Edwards is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020
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Practice location Address checks out

3841 Irish Setter Dr
Fort Worth, TX 76123-2596
Phone: (682) 414-0899
Fax: (817) 835-6753
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Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X (TX)

Record details

NPI number1770105678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 13, 2020
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020
Mailing address3841 Irish Setter Dr, Fort Worth, TX 76123-2596

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