Individual
MR. HUMBERTO XAVIER REVELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
345 OWEN LANE SUITE 102, WACO, TX 76710
(512) 686-6012
(512) 842-7227
Mailing address
208 HEWITT DR STE 103, #218, WACO, TX 76712-6693
(512) 686-6012
(512) 842-7227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
63430
TX
Other
Enumeration date
07/24/2019
Last updated
12/18/2023
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