Individual
REVA ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24285 KATY FWY STE 300, KATY, TX 77494-1128
(346) 205-1815
Mailing address
24285 KATY FWY STE 300, KATY, TX 77494-1128
(346) 205-1815
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
C615661EC5ACCF19
TX
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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