Individual
CARLOS WADE
Active
Individual
CARLOS WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183303001
—
TX
01
—
8V9831
BLUE CROSS
TX
Enumeration date
07/17/2006
Last updated
08/26/2022
Update your record
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