Provider Demographics
NPI:1376117317
Name:RAVAL, HIREN (RPH)
Entity Type:Individual
Prefix:MR
First Name:HIREN
Middle Name:
Last Name:RAVAL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 AVONDALE HASLET RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-3580
Mailing Address - Country:US
Mailing Address - Phone:817-945-2608
Mailing Address - Fax:817-945-2609
Practice Address - Street 1:1205 AVONDALE HASLET RD STE 200
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-3580
Practice Address - Country:US
Practice Address - Phone:817-945-2608
Practice Address - Fax:817-945-2609
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist