Individual
MADELINE DAWN WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
17503 LA CANTERA PKWY STE 123, SAN ANTONIO, TX 78257-8208
(512) 202-6417
Mailing address
5720 LUNSFORD RD APT 3240, PLANO, TX 75024-4966
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1974
TX
171100000X
Acupuncturist
—
—
Other
Enumeration date
05/10/2019
Last updated
01/29/2024
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