Individual
KAIRRA N ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4920 THISTLE DR APT 158, TYLER, TX 75703-2928
(254) 371-3769
Mailing address
4920 THISTLE DR APT 158, TYLER, TX 75703-2928
(254) 371-3769
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TX
Other
Enumeration date
02/09/2018
Last updated
04/21/2021
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