Tina C. Wade

NPI #1336386192 in Brenham, Texas

Provider Information

NPI Number
1336386192
Entity Type
Individual
Name
Tina C. Wade
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 15, 2009
Last Updated
Jan 15, 2009

Practice Location

Address
1303 E ALAMO ST
State
Texas
ZIP Code
77833-3823
Phone
(979) 661-4664

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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