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Individual

VITOR G PAIVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1515 TRUEMPER ST, SAN ANTONIO, TX 78236-5583
(210) 292-0515
Mailing address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(803) 895-6356

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
TX

Other

Enumeration date
04/11/2025
Last updated
01/30/2026
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