Individual
CHRISTOPHER COUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
1811 REBECCAS TRL, SAN ANTONIO, TX 78251-4155
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
156255
TX
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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