Jeremiah Revada
Jeremiah Revada is a Student in an Organized Health Care Education/Training Program in Tyler, Texas. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
3900 University BlvdTyler, TX 75799-6600
Phone: (903) 566-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1659855864 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 24, 2018 |
| Last updated in NPPES | September 24, 2018 |
| Mailing address | 11811 Piney Way Ln, Tomball, TX 77375-7599 |
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