# JOVANA REHABILITATION MEDICINE & PAIN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497288443
- **Authorized official:** IVAN EDWARDS DO (OWNER)
- **Authorized official phone:** (210) 474-6788

## Contact information

- **Practice address:** 6502 BANDERA RD STE 102, SAN ANTONIO, TX 78238-1445
- **Practice address phone:** (210) 474-6788
- **Mailing address:** 6502 BANDERA RD STE 102, SAN ANTONIO, TX 78238-1445
- **Mailing address phone:** (210) 474-6788
- **Mailing address fax:** (210) 571-4105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2017
- **Last updated:** 03/02/2020