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NPI 1578227294

IndividualActive

Antwain Wade

NPI 1578227294 · Driver · Mansfield, TX

Provider details

NPI number: 1578227294
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: Yes

Practice location

400 N State Highway 360 Apt 1026

Mansfield, TX 76063-3588

Phone: (317) 413-5205

More TX providers

Mailing address

400 N State Highway 360 Apt 1026

Mansfield, TX 76063-3588

Registry dates

Enumerated: 2021-10-28
Last updated: 2021-10-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Antwain Wade — NPI 1578227294, Mansfield, TX | NPI Central