Provider Demographics
NPI:1679774541
Name:MCCAIN, KAREN J (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:J
Last Name:MCCAIN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:J
Other - Last Name:DOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:214-648-6562
Mailing Address - Fax:214-648-6285
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-7208
Practice Address - Country:US
Practice Address - Phone:214-648-6562
Practice Address - Fax:214-648-6285
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1083947225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist