Provider Demographics
NPI:1962428656
Name:NASH, EDWARD ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:ALAN
Last Name:NASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3281 COLLEGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4501
Mailing Address - Country:US
Mailing Address - Phone:346-220-8063
Mailing Address - Fax:832-838-4362
Practice Address - Street 1:3281 COLLEGE PARK DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-4501
Practice Address - Country:US
Practice Address - Phone:346-220-8063
Practice Address - Fax:832-838-4362
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3662208100000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXEO145786OtherDPS
TX189945201Medicaid
TXM3662OtherTEXAS LICENSE
TX189945201Medicaid
TX8G8757Medicare PIN
TX189945201Medicaid