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Individual

JASON ALAN WADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8722 AUBURN GLEN LN, HOUSTON, TX 77095-4698
(713) 853-9299
Mailing address
16635 SPRING CYPRESS RD # 917, CYPRESS, TX 77429-1713
(713) 853-9299

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
02/20/2018
Last updated
02/20/2018
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