Individual
EVA CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2951 N PARK RD, CANYON LAKE, TX 78133-3551
(830) 358-3482
Mailing address
206 SIR WINSTON DR, CANYON LAKE, TX 78133-4614
(830) 358-3482
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
169803
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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