Individual
CHRISTINA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 E HOSKINS ST, NEW BOSTON, TX 75570-2727
(903) 628-7877
Mailing address
310 E HOSKINS ST, NEW BOSTON, TX 75570-2727
(903) 628-7877
(903) 628-7876
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP139080
TX
363LF0000X
Family Nurse Practitioner
Primary
AP139080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27870
PRESCRIPTIVE AUTHORIZATION
TX
05
—
400234701
—
TX
01
—
AP139080
APRN LICENSE
TX
Enumeration date
12/04/2018
Last updated
05/15/2024
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