Healthcare Provider Details
I. General information
NPI: 1508831272
Provider Name (Legal Business Name): KATE A COMEAUX MS, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/17/2006
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7800 KATY HOCKLEY RD
KATY TX
77493-5616
US
IV. Provider business mailing address
27010 BREAKAWAY LN
KATY TX
77493-8153
US
V. Phone/Fax
- Phone: 281-234-6571
- Fax:
- Phone: 281-908-9806
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2255A2300X |
| Taxonomy | Athletic Trainer |
| License Number | AT5153 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: