Individual
REVA MATTHIEW ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
505 E TRAVIS ST, MARSHALL, TX 75670-4258
(281) 223-6191
Mailing address
PO BOX 5454, SHREVEPORT, LA 71135-5454
(318) 218-5543
(318) 625-0638
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
01/13/2024
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