NPI 1366562696
Peter G. Fadow, MD
Practice location
- Address
- 4730 College Dr 6515 Kemp Blvd, Wichita Falls, Tx 76308, Vernon, TX 76384-4009
- Phone
- (940) 552-9901
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1366562696
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Mar 2007
- Record last updated
- 8 Jul 2007
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.