Healthcare Provider Details

I. General information

NPI: 1649890732
Provider Name (Legal Business Name): WADE NICOLAS KARAM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2020
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21216 NORTHWEST FWY STE 620
CYPRESS TX
77429-4699
US

IV. Provider business mailing address

4700 SETON CENTER PKWY STE 115
AUSTIN TX
78759-5753
US

V. Phone/Fax

Practice location:
  • Phone: 281-807-4380
  • Fax: 833-521-2189
Mailing address:
  • Phone: 346-440-0644
  • Fax: 346-478-0182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberW5399
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35.153326
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberW5399
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: