Individual
EDGAR O PAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5602 PRESIDIO PKWY APT 1417, SAN ANTONIO, TX 78249-3093
(210) 758-9192
Mailing address
5602 PRESIDIO PKWY APT 1417, SAN ANTONIO, TX 78249-3093
(210) 758-9192
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT133627
TX
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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