Individual
MRS. SUMMER POERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2736 FM 775, LA VERNIA, TX 78121-4731
(830) 779-2355
Mailing address
2736 FM 775, LA VERNIA, TX 78121-4731
(830) 779-2355
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2118660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118660
PTA LICENSE
TX
Enumeration date
08/13/2018
Last updated
08/13/2018
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