Provider Demographics
NPI:1962542084
Name:EDWARDS, JOSHUA CADE (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CADE
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1546 STACY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-8728
Mailing Address - Country:US
Mailing Address - Phone:214-284-9360
Mailing Address - Fax:972-430-3044
Practice Address - Street 1:1546 STACY RD STE 170
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-8728
Practice Address - Country:US
Practice Address - Phone:972-430-3040
Practice Address - Fax:972-430-3044
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10069111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor