Provider Demographics
NPI:1376714626
Name:WADE, CAMI NIXON (MS, F/AAA)
Entity Type:Individual
Prefix:
First Name:CAMI
Middle Name:NIXON
Last Name:WADE
Suffix:
Gender:F
Credentials:MS, F/AAA
Other - Prefix:
Other - First Name:CAMI
Other - Middle Name:
Other - Last Name:NIXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, F/AAA
Mailing Address - Street 1:10740 N GESSNER DR
Mailing Address - Street 2:STE 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1240
Mailing Address - Country:US
Mailing Address - Phone:281-897-0416
Mailing Address - Fax:281-890-8908
Practice Address - Street 1:455 SCHOOL ST
Practice Address - Street 2:SUITE 26
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4595
Practice Address - Country:US
Practice Address - Phone:281-351-8407
Practice Address - Fax:281-351-9217
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50665237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00670266Medicare PIN
TX8K5690Medicare PIN
TX8K7640Medicare PIN