Provider Demographics
NPI:1437752839
Name:RAVY GROUP LLC
Entity Type:Organization
Organization Name:RAVY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUARTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:726-800-6800
Mailing Address - Street 1:26014 TIVOLI MDW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-2182
Mailing Address - Country:US
Mailing Address - Phone:726-800-6800
Mailing Address - Fax:
Practice Address - Street 1:8666 HUEBNER RD STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1844
Practice Address - Country:US
Practice Address - Phone:726-800-6800
Practice Address - Fax:726-800-6809
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAVY GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center