Individual provider · Type 1 NPI
Charles Wade Page, MD
Specialist · Nacogdoches, TX
NPI number
1437104585
Active
Practice location
1303 Raguet St
Nacogdoches, TX 75961-4249
Fax (936) 568-9621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | K7468 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1437104585
Charles Wade Page, MD's National Provider Identifier is 1437104585, issued on May 24, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Nacogdoches, TX. The record was last updated on Mar 18, 2016.