Individual
SANJIV KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
927 E MAIN ST STE A, UVALDE, TX 78801-5660
(830) 278-2020
(830) 278-1040
Mailing address
927 E MAIN ST STE A, UVALDE, TX 78801-5660
(830) 278-2020
(830) 278-1040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J9141
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142084601
—
TX
Enumeration date
08/24/2006
Last updated
01/10/2025
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