NPI 1215160817

Darren Poidevin, CPO

Practitioner Prosthetist San Antonio, TX

Practice location

Address: 4204 Gardendale St STE 124, San Antonio, TX 78229-3139
Phone: (210) 615-7827

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 142 (TX)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 142 (TX)

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Registry record

NPI: 1215160817
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2009
Record last updated: 13 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.