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Individual

SEAN WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13923 WINDOVER PARK LN, CYPRESS, TX 77429-7537
(762) 208-8004
Mailing address
13923 WINDOVER PARK LN, CYPRESS, TX 77429-7537
(762) 208-8004

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
05/08/2023
Last updated
05/08/2023
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Product
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  • Eligibility checks
  • EDI platform