NPI 1326278649
Edward Charles Shadiack, DO
Practice location
- Address
- 855 Montgomery St, Fort Worth, TX 76107-2553
- Phone
- (817) 735-2235
- Mailing address
- PO Box 99335, Fort Worth, TX 76199-0335
Registered specialties
Neuromusculoskeletal Medicine & OMM Physician
Primary
Registry record
- NPI
- 1326278649
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Jul 2009
- Record last updated
- 21 Jul 2022
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.