Provider Demographics
NPI:1891568622
Name:RAVISION, LLC
Entity Type:Organization
Organization Name:RAVISION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:ANDRE
Authorized Official - Last Name:RAVIN-ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-731-8145
Mailing Address - Street 1:4163 GALLOWAY DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-6683
Mailing Address - Country:US
Mailing Address - Phone:832-731-8145
Mailing Address - Fax:
Practice Address - Street 1:4163 GALLOWAY DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-6683
Practice Address - Country:US
Practice Address - Phone:832-731-8145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care