Individual
DR. TAKAAKI WADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-8058
Mailing address
1100 N 19TH ST, STE 3C, ABILENE, TX 79601-2344
(325) 670-5320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N4188
TX
207RI0200X
Infectious Disease Physician
Primary
N4188
TX
Other
Enumeration date
05/05/2007
Last updated
09/30/2009
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