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NPI Code Detail

MEDICARE: KATI NICOLE WECKMAN

MEDICARE: KATI NICOLE WECKMAN
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
1106S00000XBehavior TechnicianRBT-18-55709TX

General Provider Information

NPI Number : 1598312670
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATI NICOLE WECKMAN
Provider Business Mailing Address
First Line : 2751 GREEN OAKS RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-1706
Country : US
Telephone Number : 817-560-1139
Fax Number :
Provider Business Practice Location Address
First Line : 2751 GREEN OAKS RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-1706
Country : US
Telephone Number : 817-560-1139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2019
Last Update Date : 08/22/2019

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Directions to “ KATI NICOLE WECKMAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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