Provider Demographics
NPI:1710579271
Name:CADE, CHRISTIAN B (CD(DONA))
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:B
Last Name:CADE
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2809 MEADOWSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-3417
Mailing Address - Country:US
Mailing Address - Phone:205-246-0627
Mailing Address - Fax:
Practice Address - Street 1:2809 MEADOWSIDE DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-3417
Practice Address - Country:US
Practice Address - Phone:205-246-0627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13464374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula