Individual
MRS. ADELLE DEBORAH DISHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.,M.S.N.
Contact information
Practice address
2001 N JEFFERSON AVE, MOUNT PLEASANT, TX 75455-2371
(903) 572-2957
(903) 572-0696
Mailing address
2001 N JEFFERSON AVE, MOUNT PLEASANT, TX 75455-2371
(903) 572-2957
(903) 572-0696
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
25ME00042001
NJ
367A00000X
Advanced Practice Midwife
Primary
631819
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140863504
—
TX
05
—
140863505
—
TX
Enumeration date
08/20/2006
Last updated
08/10/2010
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