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Individual

MR. JAMES S HAVRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.O., L.O.

Contact information

Practice address
2122 BABCOCK RD STE 102, SAN ANTONIO, TX 78229-4411
(210) 692-1111
(210) 692-6041
Mailing address
2122 BABCOCK RD STE 102, SAN ANTONIO, TX 78229-4411
(210) 692-1111
(210) 692-6041

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
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