1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Physician Assistant
  6. NPI Profile

JERRY V EDWARDS P.A.
NPI 1801839931
Physician Assistant - Surgical in Houston, TX

Active since June 14, 2006
6410 FANNIN ST, 1020, HOUSTON, TX 77030(832) 325-7090 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry V Edwards P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY V EDWARDS P.A. (NPI 1801839931) is an individual surgical provider in Houston, Texas, licensed in Texas (PA00354) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1801839931
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJERRY V EDWARDSCredential: P.A.
Location Address6410 FANNIN ST, 1020Houston, TX 77030-3000
Mailing AddressPo Box 201088Houston, TX 77216-1088 · (713) 500-3500 · Fax (713) 512-2238
Phone(832) 325-7090
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateDecember 3, 2007
✔ NPI 1801839931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · PA00354
6410 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINR56192TX
Medicare PIN970011649TX
Medicaid183223001TX
Medicare PIN83N058TX
Other87N145TX · Bcbs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EUGENIO A AGUILAR III MD PA
Clinic/Center (Ambulatory Surgical)
6410 FANNIN ST, SUITE 927
HOUSTON, TX 77030
Harris County (713) 797-0085
BELANIE G PEAVY ACNP
Nurse Practitioner (Acute Care)
6410 FANNIN ST, SUITE 1400
HOUSTON, TX 77030
Harris County (832) 325-7125
DR. NIVEDITA THAKUR M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6410 FANNIN ST, UTPB 732
HOUSTON, TX 77030
Harris County (713) 500-7113
AMBER CHEN-GOODSPEED
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 462-3983
OLASUNKANMI ADEYINKA M.D.
Family Medicine
6410 FANNIN ST, 250
HOUSTON, TX 77030
Harris County (832) 325-6500
KEVIN P LALLY M.D.
Surgery (Pediatric Surgery)
6410 FANNIN ST, 1400
HOUSTON, TX 77030
Harris County (832) 325-7234
DIANE M NOVY PH.D.
Psychologist
6410 FANNIN ST, 230
HOUSTON, TX 77030
Harris County (713) 704-3961
RAFAEL C BOTERO M.D.
Internal Medicine (Hepatology)
6410 FANNIN ST, 370
HOUSTON, TX 77030
Harris County (713) 704-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Edwards's NPI number?

The NPI number for Jerry Edwards is 1801839931. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Jerry Edwards located?

Jerry Edwards practices at 6410 Fannin St 1020, Houston, TX 77030. The listed phone number is (832) 325-7090.

What is Jerry Edwards's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jerry Edwards was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.