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Antwain Wade

NPI 1578227294 · on the registry since 2021 · sole proprietor

Practice

Address
400 N State Highway 360 Apt 1026
Mansfield, TX 76063
Phone
(317) 413-5205
Organisation at this address
Serenity Transportation Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Driver
172A00000X
Sex
Male
Record last updated
2021-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas