person
Dylan Nicole Supak
Student in an Organized Health Care Education/Training Program in Houston, Texas
NPI 1538788732

Dylan Nicole Supak is a Student in an Organized Health Care Education/Training Program based in La Grange, TX. Dylan Nicole Supak practices in Houston, TX. The NPI Number for Dylan Nicole Supak is 1538788732 and holds a License No. (Texas).

The current practice location address for Dylan Nicole Supak is 6410 Fannin St Ste 420, Houston, TX and can be reached out via phone at 832-325-7280 and via fax at 713-512-7104.

Location: 6410 Fannin St Ste 420, Houston, TX, 78945-3251
person
Provider Profile Details
NPI Number
1538788732
Provider Name
Dylan Nicole Supak
Credential
Provider Entity Type
Individual
Gender
Female
Address
6410 Fannin St Ste 420, Houston, TX, 78945-3251
Phone Number
832-325-7280
Fax Number
713-512-7104
Provider Enumeration Date
04/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6410 Fannin St Ste 420
City
State
Zip
77030-3007
Phone Number
832-325-7280
Fax Number
713-512-7104
person
Provider Business Mailing Address Details
Address
6410 Fannin St Ste 420
City
State
Zip
77030-3007
Phone Number
832-325-7280
Fax Number
713-512-7104
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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