Individual
CRISTY MARK SCHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3865 CHILDRESS AVE STE A, MESQUITE, TX 75150-2808
(972) 681-7246
Mailing address
PO BOX 850069, MESQUITE, TX 75185-0069
(972) 270-0600
(972) 270-0051
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
F1971
TX
208VP0000X
Pain Medicine Physician
Primary
F1971
TX
208VP0014X
Interventional Pain Medicine Physician
F1971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097798502
—
TX
05
—
097798503
—
TX
05
—
097798504
—
TX
Enumeration date
08/19/2005
Last updated
12/06/2018
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