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Individual

WADE DUNLAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7200 WYOMING SPRINGS DR STE 500, ROUND ROCK, TX 78681-4307
(512) 244-0111
(512) 244-2479
Mailing address
3617 CADOGAN ST, MCKINNEY, TX 75071-6668
(469) 617-6550

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
8632A
WY
208600000X
Surgery Physician
NONE
WI
208600000X
Surgery Physician
Primary
R0391
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
364062503
TX
01
888877
MEDICARE
TX
01
9263800
AETNA
TX
Enumeration date
06/27/2007
Last updated
03/20/2025
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