Revak, Annette O
Revak, Annette O is an individual health care provider with primary practice located at 12222 Merit Dr Ste 600 , Dallas TX 75251-3294. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Revak, Annette O can be contacted via phone (972) 715-5000.Contact Information
Primary practice address
12222 Merit Dr Ste 600
Dallas TX 75251-3294
Phone: (972) 715-5000
Fax: (972) 715-9976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | V1870 | Texas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 34261 | Arizona |
Profile Details
| NPI number | 1356339808 |
|---|---|
| LBN Legal business name | Revak, Annette O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jan 14th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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