Individual
DR. KEN STEVE EADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 SANTA FE DR, 100, WEATHERFORD, TX 76086-6522
(817) 341-2861
(817) 341-3603
Mailing address
815 SANTA FE DR, 100, WEATHERFORD, TX 76086-6522
(817) 341-2861
(817) 341-3603
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E3903
TX
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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