NPI age
19 years
Enumerated 2006-10-31
● Active Type 2 · Organization
Edward E Icaza MD PA
Edward E Icaza MD PA is 1 of 1903 psychiatry & neurology organizations in Texas.
Primary specialty
Psychiatry & Neurology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Icaza
President
Last NPPES update
2024-11-13
Source: monthly bulk 2026-05
How this organization compares
Across 1903 active psychiatry & neurology providers in Texas.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
5801 Oakbend Trl Ste 270
Fort Worth, TX 761323922
Mailing address
5801 Oakbend Trl Ste 270
Fort Worth, TX 761323922
Authorized official
Edward Earl Icaza, MD
President
📞 8176159496
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Satish Chandraprakasam, M.D. Internal Medicine NPI 1235369695
- Edward Icaza, MD Psychiatry & Neurology NPI 1134121940
Specialties
-
Psychiatry & Neurology PrimaryA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0072JA | BCBS |
| 01 (TX) | K9809 | NEUROLOGIST |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Benbrook Neurology
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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