ANTWAIN WADE
NPI 1578227294
Driver in Mansfield, TX

Q: What is Antwain Wade's NPI number?

The NPI number for Antwain Wade is 1578227294. It was assigned to this individual provider in the NPPES registry on October 28, 2021.

Q: What is Antwain Wade's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

Q: When was this NPI record last updated?

The NPPES record for Antwain Wade was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 28, 2021

400 N STATE HIGHWAY 360 APT 1026, MANSFIELD, TX 76063(317) 413-5205 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Antwain Wade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTWAIN WADE (NPI 1578227294) is an individual driver provider in Mansfield, Texas and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1578227294

Entity TypeIndividualMale

Primary Taxonomy172A00000X

Provider Legal NameANTWAIN WADE

Location Address400 N STATE HIGHWAY 360 APT 1026Mansfield, TX 76063-3588

Mailing Address400 N State Highway 360 Apt 1026Mansfield, TX 76063-3588 · (317) 413-5205

Phone(317) 413-5205

Sole ProprietorYes

Enumeration DateOctober 28, 2021

NPPES CertifiedOctober 28, 2021

✔ NPI 1578227294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers

Taxonomy Code172A00000X

Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

400 N STATE HIGHWAY 360 APT 1026, Mansfield, TX 76063

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Other Identifiers 1

Medicaid83-1958589IN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SERENITY TRANSPORTATION LLC

Non-emergency Medical Transport (VAN)

400 N STATE HIGHWAY 360 APT 1026
MANSFIELD, TX 76063

Tarrant County (317) 413-5205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antwain Wade's NPI number?

The NPI number for Antwain Wade is 1578227294. It was assigned to this individual provider in the NPPES registry on October 28, 2021.

Where is Antwain Wade located?

Antwain Wade practices at 400 N State Highway 360 Apt 1026, Mansfield, TX 76063. The listed phone number is (317) 413-5205.

What is Antwain Wade's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Antwain Wade was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.