Individual
MR. CLYDE KENNETH HARVEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1307 AUTUMN MOON, SAN ANTONIO, TX 78245-1378
(210) 725-8783
Mailing address
1307 AUTUMN MOON, SAN ANTONIO, TX 78245-1378
(210) 725-8783
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4195
TX
Other
Enumeration date
09/16/2013
Last updated
05/08/2018
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