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Wade Konvalin is one of 69 optometrists practicing in Texarkana, Texas .
Wade Konvalin practices with Med Southwest PLLC.
Registry record (NPPES)
NPI
1386642635
Type
Type 1 · Individual
Primary taxonomy
Optometrist · 152W00000X
Address on file
221 N Preston Rd Prosper, TX 75078-8792 (972) 347-2020
Enumerated
Jul 11, 2005
Record last updated
Mar 7, 2023
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXOptometry
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
2703 Richmond Rd
Texarkana , TX 75503
(903) 838-0783
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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