EDWARD CHARLES SHADIACK

FORT WORTH, TX
NPI1326278649
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: TX  Q5562)
Enumeration Date2009-07-21
Last Update Date2022-07-21
Business Address
Dr. EDWARD CHARLES SHADIACK D.O.
855 MONTGOMERY ST
FORT WORTH, TX 76107-2553
Phone number: 817-735-2235
Mailing Address
Dr. EDWARD CHARLES SHADIACK D.O.
PO BOX 99335
FORT WORTH, TX 76199-0335
Phone number: 817-735-0633
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