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Mr. James S Havran, CO,LO
Prosthetic/Orthotic Supplier in San Antonio, Texas
NPI 1609860048

James S Havran is a Prosthetic/Orthotic Supplier based in San Antonio, TX. James S Havran practices in San Antonio, TX and has the professional credentials of CO,LO. The NPI Number for James S Havran is 1609860048 and holds a License No. 445 (Texas).

The current practice location address for James S Havran is 2122 Babcock Rd Ste 102, San Antonio, TX and can be reached out via phone at 210-692-1111 and via fax at 210-692-6041.

Location: 2122 Babcock Rd Ste 102, San Antonio, TX, 78229-4411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609860048
Provider Name
James S Havran
Credential
CO,LO
Provider Entity Type
Individual
Gender
Male
Address
2122 Babcock Rd Ste 102, San Antonio, TX, 78229-4411
Phone Number
210-692-1111
Fax Number
210-692-6041
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
176253503 05 TX
176263501 05 TX
176263505 05 TX
176263504 05 TX
176263502 05 TX
institution
Provider Business Practice Location Address Details
Address
2122 Babcock Rd Ste 102
City
San Antonio
State
Texas
Zip
78229-4411
Phone Number
210-692-1111
Fax Number
210-692-6041
person
Provider Business Mailing Address Details
Address
2122 Babcock Rd Ste 102
City
San Antonio
State
Texas
Zip
78229-4411
Phone Number
210-692-1111
Fax Number
210-692-6041
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
445 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
445 (Texas)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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