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1235753351
RAVEN HOUSTON
HOUSTON, TX
NPI
1235753351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA13849)
Enumeration Date
2020-06-04
Last Update Date
2024-10-29
Business Address
RAVEN HOUSTON PA-C
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4000
Phone number: 713-792-6161
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Mailing Address
RAVEN HOUSTON PA-C
P O BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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