Reva Sheppard, L.P.C

NPI 1396095469 · on the registry since 2012 · sole proprietor

Practice

Address: 1533 Merrimac Cir
Suite 101
Fort Worth, TX 76107
Phone: (817) 810-0030
Fax: (817) 877-3562
Organisation at this address: Dentistry For Children Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas