Individual
MR. JAMES S HAVRAN
Active
Individual
MR. JAMES S HAVRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O., L.O.
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
445
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176253503
—
TX
05
—
176263501
—
TX
05
—
176263502
—
TX
05
—
176263504
—
TX
05
—
176263505
—
TX
Enumeration date
08/31/2005
Last updated
04/28/2009
Update your record
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