Individual
MR. JOHNNIE LEE WARREN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
7330 SAN PEDRO AVE STE 800, SAN ANTONIO, TX 78216-6268
(210) 733-0524
(866) 760-4570
Mailing address
148 RIFLE GAP, UNIVERSAL CITY, TX 78148-3628
(210) 602-5378
(210) 945-0273
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
129093
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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