Individual provider · Type 1 NPI

Diane Ihezie Edwards, MD

Student in an Organized Health Care Education/Training Program · Fort Worth, TX

NPI number 1245171982 Active

Practice location

1400 8th Ave
Fort Worth, TX 76104-4110

Mailing address

6314 N Macarthur Blvd Apt 4051
Irving, TX 75039-6102

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245171982

Diane Ihezie Edwards, MD's National Provider Identifier is 1245171982, issued on Apr 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 6, 2026.