Havran, James S

Havran, James S is an sole proprietor health care provider with primary practice located at 2122 Babcock Rd Ste 102 , San Antonio TX 78229-4411. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is his primary health care specialty. Havran, James S can be contacted via phone (210) 692-1111.

Contact Information

Primary practice address
2122 Babcock Rd Ste 102 San Antonio TX 78229-4411
Phone: (210) 692-1111
Fax: (210) 692-6041
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 445 Texas
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 445 Texas

Profile Details

NPI number 1609860048
LBN Legal business name Havran, James S
Credentials C.O., L.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Apr 28th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609860048 NPPES
Texas MEDICAID 176253503
Texas MEDICAID 176263501
Texas MEDICAID 176263505
Texas MEDICAID 176263504
Texas MEDICAID 176263502

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