DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CORIE CERDA MAT, ATC, LAT

MEDICARE: CORIE CERDA MAT, ATC, LAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer
2390200000XStudent in an Organized Health Care Education/Training Program
32255A2300XAthletic TrainerAT7148TX

General Provider Information

NPI Number : 1780038968
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORIE CERDA MAT, ATC, LAT
Provider Business Mailing Address
First Line : 27600 KINGS MANOR DR N APT 1763
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-2169
Country : US
Telephone Number : 512-818-6038
Fax Number :
Provider Business Practice Location Address
First Line : 2520 WW THORNE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77073-3406
Country : US
Telephone Number : 281-449-1011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2016
Last Update Date : 01/07/2023

Similar Medicare Providers

1588129845 — TAYLOR D PACK M.S., CCC-SLP
Practice Location Address:
2520 WW THORNE BLVD
HOUSTON, TX
77073-3406
Practice Phone: 281-449-1011
Practice Fax: --
1326607789 — ERIN NOELLE PFAU M.S.
Practice Location Address:
2520 WW THORNE BLVD
HOUSTON, TX
77073-3406
Practice Phone: 281-449-1011
Practice Fax:
1104455856 — NATTALIA TAMICKA TOMLINSON
Practice Location Address:
2520 WW THORNE BLVD
HOUSTON, TX
77073-3406
Practice Phone: 281-449-1011
Practice Fax:
1497372627 — PRICE BENNETT CCC-SLP
Practice Location Address:
2520 WW THORNE BLVD
HOUSTON, TX
77073-3406
Practice Phone: 281-449-1011
Practice Fax:
1427624279 — DAMITRA JOHNSON
Practice Location Address:
2520 WW THORNE BLVD
HOUSTON, TX
77073-3406
Practice Phone: 281-449-1011
Practice Fax:
1336710789 — DR. EVAN SUMNER AU.D.
Practice Location Address:
2520 WW THORNE BLVD
HOUSTON, TX
77073-3406
Practice Phone: 281-985-6491
Practice Fax:

Directions to “ CORIE CERDA MAT, ATC, LAT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.