Organization · Type 2 NPI

Ka-Ron Y. Wade Dds,pa

Dental Clinic/Center · Houston, TX

NPI number 1811255029 Active

Practice location

2101 Crawford St, 103
Houston, TX 77002-8942

Fax (713) 654-7858

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X19435 (TX)
Dental Clinic/Center 261QD0000X27647 (TX)

Dental Clinic/Center: Definition to come...

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About NPI 1811255029

Ka-Ron Y. Wade Dds,pa's National Provider Identifier is 1811255029, issued on Apr 25, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Houston, TX. The record was last updated on Apr 25, 2012.