Organization
CRISTY M SCHADE MD PA
Active
Other names
Center For Pain Control
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTY MARK SCHADE MD (PRESIDENT)
(972) 494-2676
Entity
Organization
Contact information
Practice address
2692 W WALNUT ST, SUITE 105, GARLAND, TX 75042-6474
(972) 494-2676
Mailing address
2692 W WALNUT ST, SUITE 105, GARLAND, TX 75042-6474
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F1971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177155201
—
TX
Enumeration date
10/05/2006
Last updated
07/10/2008
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