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Individual
DR. WADE L. KNIGHT
Active
Individual
DR. WADE L. KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D7128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010167-01
CSHCN
TX
05
—
1010167-02
—
TX
01
—
330005361
RR/MEDICARE
TX
01
—
807463
BLUE SHIELD
TX
Enumeration date
03/28/2006
Last updated
07/11/2007
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