Fath, Steven Wade
Fath, Steven Wade is an sole proprietor health care provider with primary practice located at 420 E 6Th St Ste 104 , Odessa TX 79761-4537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fath, Steven Wade can be contacted via phone (432) 333-8400.Contact Information
Primary practice address
420 E 6Th St Ste 104
Odessa TX 79761-4537
Phone: (432) 333-8400
Fax: (432) 333-8401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | K8144 | Texas |
Profile Details
| NPI number | 1982661542 |
|---|---|
| LBN Legal business name | Fath, Steven Wade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Aug 26th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982661542 | NPPES |
| Texas | MEDICAID | 040430302 |
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