Provider Demographics
NPI:1861515132
Name:RAWLINS, SHEVAUGHN DENANDREA (MPT)
Entity type:Individual
Prefix:MS
First Name:SHEVAUGHN
Middle Name:DENANDREA
Last Name:RAWLINS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 TEXAS AVE W APT 124
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-3260
Mailing Address - Country:US
Mailing Address - Phone:281-250-1335
Mailing Address - Fax:
Practice Address - Street 1:1405 HOLLAND ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-2845
Practice Address - Country:US
Practice Address - Phone:713-455-1744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1172786171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor