Individual
ECO AZURED WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PROVIDER
Contact information
Practice address
18727 HOLLY WAY, HOUSTON, TX 77084-3880
(281) 235-6348
Mailing address
18691 CLAY RD, HOUSTON, TX 77084-7241
(281) 235-6348
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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