Seth Ravid
Physician Assistant in Jbsa Randolph, TX. Individual provider (NPI-1).
NPI number1316572308
StatusActive
Last updated in NPPESAug 29, 2025
Details
- NPI
- 1316572308
- Entity type
- Individual (NPI-1)
- Name
- Seth Ravid
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2020
- Certification date
- Aug 29, 2025
- Last updated
- Aug 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
221 3rd St W Bldg 1040Jbsa Randolph, TX 78150-4800
Phone 203-927-3454
Mailing address
221 3rd St W Bldg 1040Jbsa Randolph, TX 78150-4800
Phone 203-927-3454
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All 15 Physician Assistant providers in Jbsa Randolph · All 78 providers in Jbsa Randolph
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