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Contact Information

CHARLES B QUADE, ATC, LAT, MS
405 DELOSS DODDS WAY
AUSTIN, TX78712
 Phone: 512-471-5966
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for CHARLES B QUADE · (Male)

NPI # 1740707926
Status Active
Credentials ATC, LAT, MS
Entity Individual
Enumeration date 08/28/2017
Last updated 08/21/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0126004220
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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