Provider Demographics
NPI:1699141572
Name:KAO, TABITHA HSIUNEN (MS)
Entity type:Individual
Prefix:
First Name:TABITHA
Middle Name:HSIUNEN
Last Name:KAO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 S FM 116 APT 5207
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-3647
Mailing Address - Country:US
Mailing Address - Phone:940-536-9513
Mailing Address - Fax:
Practice Address - Street 1:2300 S CLEAR CREEK RD STE 102
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549
Practice Address - Country:US
Practice Address - Phone:254-554-2637
Practice Address - Fax:254-554-6606
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-14
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111678235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist