GILLEAN PEARSON WADE (NPI# 1609075001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609075001 |
| Entity Type | Individual |
| Full Name | GILLEAN PEARSON WADE |
| Practice Address |
2490 Boonville Rd Ste 120 Bryan TX 77808-2327 |
| Practice Telephone | 2148029848 |
| Mailing Telephone | 2148029848 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2019-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2490 BOONVILLE RD STE 120 |
| City | BRYAN |
| State | TX |
| Zip Code | 77808-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790637 | Jennifer Roselius | Counselor | 2490 Boonville Rd Ste 120, Bryan, TX 77808-2327 | 2020-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625605 | Erin Anne Reynoso | Midwife | 10387 Taylor Rd, Bryan, TX 77808 | 2019-05-23 |
| 1811015878 | Charity A Karpac | Internal Medicine | 2410 Boonville Road, Bryan, TX 77808 | 2007-03-27 |
| 1760585194 | Aaron Keith Buzzard | Emergency Medicine | 10485 S Fm 2038, Bryan, TX 77808 | 2006-09-07 |
| 1053834135 | Bv Emergency Physicians, Pllc | Clinic/Center | 2411 Boonville Rd, Bryan, TX 77808 | 2017-07-20 |
| 1326686114 | Reed Kristynik | Contractor | 2502 Clarks Ln Ste 100, Bryan, TX 77808-1333 | 2019-12-12 |
| 1033634423 | Julie Ann Stark | Registered Nurse | 3510 Wakefield Dr, Bryan, TX 77808-1430 | 2017-08-07 |
| 1093958233 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2350 Boonville Rd, Bryan, TX 77808-2225 | 2009-04-17 |
| 1700114568 | Thomas Micheal Hohensee | Pharmacist | 2350 Boonville Rd, Bryan, TX 77808-2225 | 2009-12-05 |
| 1265760292 | Carole L Copeland | Pharmacist | 2350 Boonville Rd, Bryan, TX 77808-2225 | 2009-12-02 |
| 1164634606 | Sybil Jane Taquet | Family Medicine | 2410 Boonville Rd, Bryan, TX 77808-2226 | 2007-05-04 |
| Find all providers in zip 77808 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346737665 | Adrienne Marie Couch | Counselor | 1009 N Earl Rudder Fwy, Bryan, TX 77802-2959 | 2018-04-23 |
| 1376756213 | Kathleen Ann Moreau | Counselor | 424 S Portland St, Bryan, OH 43506-2084 | 2007-05-07 |
| 1649398868 | Dorthy B Kotmann | Counselor | 702 S Washington Ave, Bryan, TX 77803-3985 | 2007-03-26 |
| 1124103452 | Barbara Jean Bryant | Counselor | 3131 E 29th St Ste F, Suite 100, Bryan, TX 77802-2788 | 2006-10-26 |
| 1285642579 | Robert Dawson Jones | Counselor | 1504 S Texas Ave, Bryan, TX 77802-1015 | 2006-08-03 |
| 1245267111 | Tammera Susan Brown | Counselor | 2402 Broadmoor Dr. #102 A, Bryan, TX 77802-2800 | 2006-06-27 |
| 1083662480 | Adrienne Shields | Counselor | 2402 Broadmoor Dr, Suite A-103, Bryan, TX 77802-2847 | 2006-05-05 |
| 1609413855 | Priscilla Lynn Montelongo | Counselor | 1716 Briarcrest Dr Ste 300, Bryan, TX 77802-2777 | 2019-12-06 |
| 1477060655 | Jessica Lynne Hall | Counselor | 804 S Texas Ave, Bryan, TX 77803-3946 | 2018-01-09 |
| 1174030357 | Diana Hofstetter | Counselor | 804 S Texas Ave, Bryan, TX 77803-3946 | 2018-01-09 |
| Find all providers in BRYAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.