Individual
MRS. JAMIE D WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86 PR 25162, SOUTH TEXARKANA, TX 75501-2074
(903) 244-6184
Mailing address
86 PR 25162, SOUTH TEXARKANA, TX 75501-2074
(903) 244-6184
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
TX
172A00000X
Driver
—
TX
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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