P Praxis·MD
● Active Type 1 · Individual

DR. Colleen D Edge, MD

Pediatrics·Dallas, TX· NPI 1215379987 · Enumerated 2013 · 12 years on NPI
Edge is 1 of 437 pediatrics providers in Dallas and 1 of 7055 in Texas.
NPI age
12 years
Enumerated 2013-07-23
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
TX, MO
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-10-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7055 active pediatrics providers in Texas.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-07Enumerated in NPPES
2013 2026

Where they practice

Practice location
8355 Walnut Hill Ln Ste 105
Dallas, TX 752314242
📞 2133683659fax 2147398923
Mailing address
8355 Walnut Hill Ln Ste 105
Dallas, TX 752314242
📞 2133683659fax 2147398923

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    TX license #R3502MO license #2016013259 taxonomy 208000000X
  • Pediatrics
    A pediatrician who has special qualifications to manage emergencies in infants and children.
    MO license #2016013259 taxonomy 2080P0204X

Identifiers

TypeValueNotes
05 (IL) ENROLLED
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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