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NPI Code Detail

MEDICARE: MARGARET WICKERT

MEDICARE: MARGARET WICKERT
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
1235Z00000XSpeech-Language Pathologist100819TX

General Provider Information

NPI Number : 1992426944
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET WICKERT
Provider Business Mailing Address
First Line : PO BOX 1108
Second Line :
City : MONT BELVIEU
State : TX
Zip : 77580-1108
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9600 EAGLE DR
Second Line :
City : MONT BELVIEU
State : TX
Zip : 77523-5614
Country : US
Telephone Number : 281-576-2221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2022
Last Update Date : 10/10/2022

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Directions to “ MARGARET WICKERT ” Practice Location

Language Start Address Practice Location
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