Individual
MR. JUSTIN IVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
1438 SMOKY FENNEL, SAN ANTONIO, TX 78245-3279
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RCP02001197
TX
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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