SearchTexas225700000X

Lonn Wade, LLT,MMP

NPI 1659012854 · on the registry since 2022 · sole proprietor

Practice

Address
3317 Finley Rd Ste 223
Irving, TX 75062
Phone
(512) 897-5163
Organisation at this address
Stephen Tomutsa
Better Shape Rehab
Enhanced Living Llc
I-Maze Clinical Dx Llc
Irving Clinical Dx Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas