CRISTY M SCHADE MD PA
Medical Practice at Walnut St, Garland, TX

License number
Texas F1971
Category
Medical Practice
Type
Specialist
Owner
Name: CRISTY MARK SCHADE MD
Title: PRESIDENT
Phone: (972) 494-2676
Address
Address
2692 W Walnut St SUITE 105, Garland, TX 75042
National Provider ID: 1609962661
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CRISTY M. SCHADE, MD, PA

2692 W Walnut St STE 105, Garland, TX 75042

Status:
Inactive
Doing business as:
Cristy M. Schade, MD, PA
Registration:
Jan 7, 2005
State ID:
0800438878
Business type:
Professional Association
President, Treasurer, Secretary, Director, Member, Vice-President:
Cristy M. Schade President, Treasurer, Secretary, Director, Member, Vice-President, inactive
Agent:
Cristy M Schade,2692 W Walnut St, Garland, TX 75042 (Physical)
TIN:
30005674731

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