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: |