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Individual
PAUL D WADE
Active
Individual
PAUL D WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F5086
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098668903
—
TX
05
—
098668904
—
TX
05
—
098668905
—
TX
01
—
8S0456
BCBS
TX
Enumeration date
08/03/2005
Last updated
12/03/2012
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