Antwain Wade
Antwain Wade is a Driver in Mansfield, Texas. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
400 N State Highway 360 Apt 1026Mansfield, TX 76063-3588
Phone: (317) 413-5205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1578227294 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 28, 2021 |
| Last updated in NPPES | October 28, 2021 |
| Certification date | October 28, 2021 |
| Mailing address | 400 N State Highway 360 Apt 1026, Mansfield, TX 76063-3588 |
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