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NPI Code Detail

MEDICARE: MADISON PAIGE DEMASTERS

MEDICARE: MADISON PAIGE DEMASTERS
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
1224Z00000XOccupational Therapy Assistant218314TX

General Provider Information

NPI Number : 1245192764
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON PAIGE DEMASTERS
Provider Business Mailing Address
First Line : 606 N 6TH ST
Second Line :
City : GUNTER
State : TX
Zip : 75058-2154
Country : US
Telephone Number : 903-532-1400
Fax Number :
Provider Business Practice Location Address
First Line : 8001 S US HIGHWAY 75
Second Line :
City : SHERMAN
State : TX
Zip : 75090-5707
Country : US
Telephone Number : 903-532-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ MADISON PAIGE DEMASTERS ” Practice Location

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