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NPI Code Detail

MEDICARE: WADE DUNLAP M.D.

MEDICARE:   WADE  DUNLAP  M.D.
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
1208600000XSurgery Physician8632AWY
2208600000XSurgery PhysicianNONEWI
3208600000XSurgery PhysicianR0391TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1888877OTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
29263800OTHERTXAETNA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4888877OTHERTXBLUE CROSS

General Provider Information

NPI Number : 1528265360
Entity Type Code : Individual
Provider Name (Legal Business Name) : WADE DUNLAP M.D.
Provider Business Mailing Address
First Line : 3617 CADOGAN ST
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-6668
Country : US
Telephone Number : 469-617-6550
Fax Number :
Provider Business Practice Location Address
First Line : 7200 WYOMING SPRINGS DR STE 500
Second Line :
City : ROUND ROCK
State : TX
Zip : 78681-4307
Country : US
Telephone Number : 512-244-0111
Fax Number : 512-244-2479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2007
Last Update Date : 03/20/2025

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Directions to “ WADE DUNLAP M.D.” Practice Location

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