Individual
MRS. BARBARA KATHRYN COPENHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8610 N NEW BRAUNFELS AVE STE 405, SAN ANTONIO, TX 78217-6358
(210) 804-0193
Mailing address
120 YEAGER CIR, CIBOLO, TX 78108-4311
(830) 387-0729
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
215518
TX
Other
Enumeration date
08/11/2018
Last updated
08/11/2018
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