Provider Demographics
NPI:1295975548
Name:MCCAIN, KARA NICOLE (PT)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:NICOLE
Last Name:MCCAIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:1013 S WELLS ST
Mailing Address - Street 2:ATTN: PHYSICAL THERAPY DEPT
Mailing Address - City:EDNA
Mailing Address - State:TX
Mailing Address - Zip Code:77957-4045
Mailing Address - Country:US
Mailing Address - Phone:361-782-7898
Mailing Address - Fax:361-782-6317
Practice Address - Street 1:1013 S WELLS ST
Practice Address - Street 2:ATTN: PHYSICAL THERAPY DEPT
Practice Address - City:EDNA
Practice Address - State:TX
Practice Address - Zip Code:77957-4045
Practice Address - Country:US
Practice Address - Phone:361-782-7898
Practice Address - Fax:361-782-6317
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1181352225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist