person
Ms. Rauvi Vidad Blackwell
Psychiatric/Mental Health Nurse Practitioner in Lewisville, Texas
NPI 1609319052

Rauvi Vidad Blackwell is a Psychiatric/Mental Health Nurse Practitioner based in Flower Mound, TX and is specialized in Psychiatric/Mental Health. Rauvi Vidad Blackwell practices in Lewisville, TX. The NPI Number for Rauvi Vidad Blackwell is 1609319052 and holds a License No. AP132753 (Texas).

The current practice location address for Rauvi Vidad Blackwell is 860 Hebron Pkwy, Lewisville, TX and can be reached out via phone at 469-444-2244 and via fax at 214-488-1200.

Location: 860 Hebron Pkwy, Lewisville, TX, 75028-3998
person
Provider Profile Details
NPI Number
1609319052
Provider Name
Rauvi Vidad Blackwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
860 Hebron Pkwy, Lewisville, TX, 75028-3998
Phone Number
469-444-2244
Fax Number
214-488-1200
Provider Enumeration Date
12/02/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
860 Hebron Pkwy
City
State
Zip
75057-5151
Phone Number
469-444-2244
Fax Number
214-488-1200
person
Provider Business Mailing Address Details
Address
860 Hebron Pkwy
City
State
Zip
75057-5151
Phone Number
469-444-2244
Fax Number
214-488-1200
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP132753 (Texas)
Definition
Definition to come...
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