Provider Demographics
NPI:1225791833
Name:STOLTE, JADE (DC)
Entity Type:Individual
Prefix:
First Name:JADE
Middle Name:
Last Name:STOLTE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3215 PAINTED MEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4938
Mailing Address - Country:US
Mailing Address - Phone:850-588-5400
Mailing Address - Fax:
Practice Address - Street 1:2800 FM 359 RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-9500
Practice Address - Country:US
Practice Address - Phone:281-896-0250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14808111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor