Individual
DARREN POIDEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
4204 GARDENDALE ST STE 124, SAN ANTONIO, TX 78229-3139
(210) 615-7827
Mailing address
4204 GARDENDALE ST STE 124, SAN ANTONIO, TX 78229-3139
(210) 615-7827
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
142
TX
224P00000X
Prosthetist
Primary
142
TX
Other
Enumeration date
08/29/2009
Last updated
09/13/2016
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