Individual
CLEVELAND CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2391 NE LOOP 410 STE 101, SAN ANTONIO, TX 78217-5675
(210) 590-0247
Mailing address
29579 COPPER XING, BULVERDE, TX 78163-2488
(267) 210-9732
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344535
TX
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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