Individual
RICHARD RAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5525 BURNET RD, SUITE 1, AUSTIN, TX 78756-1603
(512) 459-7603
(512) 459-7604
Mailing address
5525 BURNET RD, SUITE 1, AUSTIN, TX 78756-1603
(512) 459-7603
(512) 459-7604
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332BC3200X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z05049711
—
TX
Enumeration date
11/17/2006
Last updated
07/09/2007
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