Individual
MS. RAUVI VIDAD BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 HEBRON PKWY, SUITE 1101, LEWISVILLE, TX 75057-5151
(469) 444-2244
(214) 488-1200
Mailing address
1208 SUNDOWN DR, FLOWER MOUND, TX 75028-3998
(469) 993-4920
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP132753
TX
Other
Enumeration date
12/02/2016
Last updated
12/06/2016
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