MEDICARE: PARIS WADE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	2080P0006X	TX

General Provider Information

NPI Number	:	1053262410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARIS WADE

Provider Business Mailing Address
First Line	:	2708 CADIZ BAY DR
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-3394
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2708 CADIZ BAY DR
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-3394
Country	:	US
Telephone Number	:	832-914-9710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “ PARIS WADE ” Practice Location

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