Individual
MARY WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
329 W FRANKLIN ST, GOLIAD, TX 77963-4172
(361) 645-2144
(361) 645-8032
Mailing address
PO BOX 1357, GOLIAD, TX 77963-1357
(361) 645-2144
(361) 645-8032
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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