Tydesheaia Ladejenee Pool

Practice location

Address

1300 Cedar Branch Dr, Wylie, TX 75098-6678

Phone

(601) 810-4101

Mailing address

2996 Westvista Cir APT 2996, Fort Worth, TX 76133-5792

Registered specialties

Registry record

NPI

1023664778

Entity type

Individual

Sex (as registered)

Female

NPI issued

16 Aug 2019

Record last updated

7 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.