Individual
CATHERINE CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT ATC
Contact information
Practice address
9200 WORLD CUP WAY STE 202, FRISCO, TX 75033-4958
(520) 820-0698
Mailing address
9200 WORLD CUP WAY STE 202, FRISCO, TX 75033-4958
(520) 820-0698
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000036485
BOC
—
01
—
AT8092
TEXAS LICENSE OF ATHLETIC TRAINING
TX
Enumeration date
02/20/2019
Last updated
02/25/2022
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