Individual
REVA SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 WORTH ST STE C-1025, DALLAS, TX 75246-2006
(214) 865-2010
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N3295
TX
207RX0202X
Medical Oncology Physician
Primary
N3295
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211600602
—
TX
01
—
8DE940
BCBS
TX
Enumeration date
05/23/2007
Last updated
11/29/2022
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