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
Fax: (432) 333-8401
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982661542 NPPES
Texas MEDICAID 040430302

Popular Providers