Individual
MR. JERMAINE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 SPRING VALLEY RD STE 632, DALLAS, TX 75244-3629
(972) 220-8619
Mailing address
4100 SPRING VALLEY RD STE 632, DALLAS, TX 75244-3629
(972) 220-8619
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
27-0660129
TX
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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