Individual
CAMILLE HAWORTH REVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17101 PRESTON RD STE 200, DALLAS, TX 75248-1374
(972) 239-4441
(972) 239-1597
Mailing address
17101 PRESTON RD STE 200, DALLAS, TX 75248-1374
(972) 239-4441
(972) 239-1597
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15005
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/05/2020
Last updated
11/07/2025
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