Individual
PATRICK JAN CUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2714 CARNATION DR, RICHARDSON, TX 75082-4257
(972) 690-3018
Mailing address
2714 CARNATION DR, RICHARDSON, TX 75082-4257
(972) 690-3018
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161337286
WA
2255A2300X
Athletic Trainer
AT8718
TX
Other
Enumeration date
08/27/2018
Last updated
11/09/2023
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