Mary Wade

NPI #1740689769 in Goliad, Texas

Provider Information

NPI Number
1740689769
Entity Type
Individual
Name
Mary Wade
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Aug 14, 2014
Last Updated
Aug 14, 2014

Practice Location

Address
329 W FRANKLIN ST
City
Goliad
State
Texas
ZIP Code
77963-4172
Phone
(361) 645-2144

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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