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Organization

EVQV,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL WEBB SHOE FITTER (OWNER)
(210) 858-9320
Entity
Organization

Contact information

Practice address
2601 PLEASANTON RD STE 101, SAN ANTONIO, TX 78221-1802
(210) 858-9320
(210) 858-6650
Mailing address
2601 PLEASANTON RD STE 101, SAN ANTONIO, TX 78221-1802
(210) 858-9320
(210) 858-6650

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
3-2053-0088
TX

Other

Enumeration date
09/04/2015
Last updated
09/04/2015
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