Peter G. Fadow, M.D.

NPI #1366562696 in Vernon, Texas

Provider Information

NPI Number
1366562696
Entity Type
Individual
Name
Peter G. Fadow, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychiatric Hospital
Credential
M.D.
Enumeration Date
Mar 30, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4730 COLLEGE DR
Address 2
6515 KEMP BLVD, WICHITA FALLS, TX 76308
City
Vernon
State
Texas
ZIP Code
76384-4009
Phone
(940) 552-9901

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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