Individual
MONICA WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 HOLDEN ST, GLEN ROSE, TX 76043-4937
(254) 897-4326
Mailing address
945 COUNTY ROAD 201, IREDELL, TX 76649-3511
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
012345
TX
208100000X
Physical Medicine & Rehabilitation Physician
081565
TX
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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