Individual
DR. CARMELLA LOUISE D'ADDEZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
149 HART ST, 82 MDG/SGOP, SHEPPARD AFB, TX 76311-3478
(940) 676-4472
(950) 676-8005
Mailing address
149 HART STREET, INTERNAL MEDICINE CLINIC, WICHITA FALLS, TX 76311-3478
(940) 676-4472
(940) 676-8005
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
5101007141
MI
Other
Enumeration date
12/15/2005
Last updated
06/01/2012
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