Jennifer Otto Rasy in Dallas - Physician Assistant
Jennifer Otto Rasy - NPI 1154435196
Jennifer Otto Rasy is a Physician Assistant in Dallas, Texas. Jennifer Otto Rasy practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Otto Rasy is 1154435196. The last update date is 2019-10-16.
Jennifer Otto Rasy's current location address is Po Box 845347, Dallas, Texas. You can contact this provider via phone number 9793240046. The mailing address for Jennifer Otto Rasy is Po Box 845347, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Otto Rasy |
|---|---|
| Address | Po Box 845347, Dallas, Texas |
| Phone Number | 9793240046 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1154435196 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2019-10-16 |
Provider Mailing Address Detail
| Address | Po Box 845347 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752847208 |
| Phone Number | 9793240046 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04774 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8G4622 | MEDICARE PROVIDER NUMBER | ||
| 8N9962 | TX | BCBS NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jennifer Otto Rasy by the Centers for Medicare & Medicaid Services?
The Jennifer Otto Rasy has been issued the NPI (National Provider Identifier) 1154435196 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jennifer Otto Rasy?
The Jennifer Otto Rasy is situated at Po Box 845347, in the city of Dallas, state of TX, with the zip code 752847208.
What is Jennifer Otto Rasy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jennifer Otto Rasy is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Jennifer Otto Rasy receive its 1154435196 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Otto Rasy was assigned its 1154435196 on 2006-08-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jennifer Otto Rasy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jennifer Otto Rasy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-10-16.