Individual
MRS. CATHY POERNER SUPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
18100 SAINT JOHN DR, SUITE 100, HOUSTON, TX 77058-3631
(281) 333-8806
(281) 333-8875
Mailing address
14714 GRAYWOOD GROVE LN, HOUSTON, TX 77062-2108
(281) 480-1417
(281) 333-8875
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-0797
TX
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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