Individual
WAYNE MANUEL CROFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
100 DEER RIDGE DR, LA VERNIA, TX 78121-9501
(210) 445-1963
Mailing address
100 DEER RIDGE DR, LA VERNIA, TX 78121-9501
(210) 445-1963
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
78399
TX
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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