Individual
JASMINE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5647 LIVE OAK ST UNIT 1, DALLAS, TX 75206-8015
(727) 946-4089
Mailing address
5647 LIVE OAK ST UNIT 1, DALLAS, TX 75206-8015
(727) 946-4089
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/28/2024
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