Individual
DR. JACQUELYN VALERIE RAVAN ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
K1341
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100666003
—
TX
Enumeration date
04/21/2006
Last updated
09/29/2011
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