Individual
MRS. TABITHA H. FADELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDDIAG, CALT, DT
Contact information
Practice address
5801 MARVIN D LOVE FWY STE 304, DALLAS, TX 75237-2318
(469) 820-4148
Mailing address
5801 MARVIN D LOVE FWY STE 304, DALLAS, TX 75237-2318
(469) 820-4148
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1119388
TX
Other
Enumeration date
02/19/2022
Last updated
03/23/2023
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