person
Ms. Terri Losack Wade, FNP
Family Nurse Practitioner in Fort Worth, Texas
NPI 1982637740

Terri Losack Wade is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Terri Losack Wade practices in Fort Worth, TX and has the professional credentials of FNP. The NPI Number for Terri Losack Wade is 1982637740 and holds a License No. 554994 (Texas).

The current practice location address for Terri Losack Wade is 500 S Henderson St Ste 200, Fort Worth, TX and can be reached out via phone at 817-413-1500 and via fax at 817-413-1499.

Location: 500 S Henderson St Ste 200, Fort Worth, TX, 75391-1230
person
Provider Profile Details
NPI Number
1982637740
Provider Name
Terri Losack Wade
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
500 S Henderson St Ste 200, Fort Worth, TX, 75391-1230
Phone Number
817-413-1500
Fax Number
817-413-1499
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175300601 05 TX
8451NZ 01 TX BLUE CROSS BLUE SHIELD
369687402 05 TX
institution
Provider Business Practice Location Address Details
Address
500 S Henderson St Ste 200
City
State
Zip
76104-2154
Phone Number
817-413-1500
Fax Number
817-413-1499
person
Provider Business Mailing Address Details
Address
500 S Henderson St Ste 200
City
State
Zip
76104-2154
Phone Number
817-413-1500
Fax Number
817-413-1499
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
554994 (Texas)
Definition
Definition to come...
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