Individual
DEEPU RAVEENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4430 WARBLER LN, GARLAND, TX 75043-7504
(972) 666-8000
(832) 408-7870
Mailing address
4430 WARBLER LN, GARLAND, TX 75043-2685
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
TX
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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