Individual
STEPHANIE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3330 MATLOCK RD, STE 207, ARLINGTON, TX 76015-2917
(817) 470-3566
Mailing address
3330 MATLOCK RD, STE 207, ARLINGTON, TX 76015-2917
(817) 470-3566
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
705820
TX
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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