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NPI Code Detail

MEDICARE: KAREN WADE MT-BC

MEDICARE:   KAREN  WADE  MT-BC
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
1225A00000XMusic Therapist15596TX

General Provider Information

NPI Number : 1033728746
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN WADE MT-BC
Provider Business Mailing Address
First Line : 4753 MISTY RANCH DR
Second Line :
City : SPRING
State : TX
Zip : 77386-4741
Country : US
Telephone Number : 832-315-0045
Fax Number :
Provider Business Practice Location Address
First Line : 4753 MISTY RANCH DR
Second Line :
City : SPRING
State : TX
Zip : 77386-4741
Country : US
Telephone Number : 832-315-0045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2020
Last Update Date : 07/28/2020

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Directions to “ KAREN WADE MT-BC” Practice Location

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