Most Relevant Information
Provider Data
| NPI Number: | 1003286733 |
| Provider Name: | JERMAINE WADE |
| Entity Type: | Individual |
| Taxonomy Code: | 247000000X |
| Specialty: | Technician, Health Information |
| License Number: | 27-0660129 |
Most Important Dates
| Enumeration Date: | 10/07/2015 |
| Last Updated: | 10/07/2015 |
Provider Practice Location
4100 SPRING VALLEY RD STE 632
DALLAS
TX
752443629
Practice Location Phone/Fax
| Phone: | 9722208619 |
| Fax: |
Provider Mailing Location
4100 SPRING VALLEY RD STE 632
DALLAS
TX
752443629
Provider Mailing Phone/Fax
| Phone: | 9722208619 |
| Fax: |