Individual
CASEY KYRIACOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3204 CULLEN BLVD, HOUSTON, TX 77204-6000
(434) 996-7146
Mailing address
511 ALLSTON ST APT 1205, HOUSTON, TX 77007-2788
(434) 996-7146
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9468
TX
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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