Individual
DEVAUN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4206 FORT MADDIN ST, SAN ANTONIO, TX 78233
(346) 412-4702
Mailing address
4206 FORT MADDIN ST, SAN ANTONIO, TX 78233
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
779541
TX
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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