Individual
KEVIN PRIMEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11124 WURZBACH RD STE 100, SAN ANTONIO, TX 78230-2440
(210) 615-5242
Mailing address
11124 WURZBACH RD STE 100, SAN ANTONIO, TX 78230-2440
(210) 615-5242
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
138880
TX
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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