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Organization
WADE MEDICAL CARE PA
Active
Organization
WADE MEDICAL CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS WADE MD (PRESIDENT AND CEO)
(325) 716-9182
Entity
Organization
Contact information
Practice address
139 COUNTRY VISTA CIR, BURLESON, TX 76028-7877
(325) 716-9182
Mailing address
139 COUNTRY VISTA CIR, BURLESON, TX 76028-7877
(325) 716-9182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M4631
LICENCE
TX
Enumeration date
05/08/2012
Last updated
05/08/2012
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