Tina C. Wade
Tina C. Wade is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Brenham, Texas. Practices as a sole proprietor. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
1303 E Alamo StBrenham, TX 77833-3823
Phone: (979) 661-4664
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1336386192 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 15, 2009 |
| Last updated in NPPES | January 15, 2009 |
| Mailing address | Po Box 1765, Brenham, TX 77834-1765 |
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