Individual
CHRISTINA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 TEXAS BLVD STE 401, TEXARKANA, TX 75501-5113
(903) 792-4003
(903) 794-6743
Mailing address
864 COUNTY ROAD 4105, NEW BOSTON, TX 75570-5126
(903) 280-4400
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
07/29/2026
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