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Individual

WADE P FARROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1605 ROCK PRAIRIE RD, COLLEGE STATION, TX 77845-8358
(979) 764-4325
(979) 764-4345
Mailing address
5320 MIRABELL RD, CHARLOTTE, NC 28226-6496
(979) 777-6730

Taxonomy

Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
116659
MT
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
L1067
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710957345
TX
Enumeration date
01/25/2006
Last updated
10/14/2022
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