John Lee Rasberry in Shallowater - Medical
John Lee Rasberry - NPI 1164512117
John Lee Rasberry is a Medical in Shallowater, Texas. John Lee Rasberry practices all healthcare services and medical treatments related to Medical. The NPI Number for John Lee Rasberry is 1164512117. The last update date is 2023-03-07.
John Lee Rasberry's current location address is 11211 N County Road 1500, Shallowater, Texas. You can contact this provider via phone number 8068321832 and fax number 8068320918. The mailing address for John Lee Rasberry is 11211 N County Road 1500, Shallowater, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Lee Rasberry |
|---|---|
| Address | 11211 N County Road 1500, Shallowater, Texas |
| Phone Number | 8068321832 |
| Fax Number | 8068320918 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1164512117 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 11211 N County Road 1500 |
|---|---|
| City | Shallowater |
| State | Texas (TX) |
| Post Code | 793633019 |
| Phone Number | 8068321832 |
| Fax Number | 8068320918 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA00720 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identifier code issued to John Lee Rasberry by the Centers for Medicare & Medicaid Services (CMS)?
The John Lee Rasberry has been assigned the NPI (National Provider Identifier) 1164512117. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the John Lee Rasberry's physical address?
The John Lee Rasberry is physically located at 11211 N County Road 1500, in the city of Shallowater, TX, with the postal code 793633019.
What is John Lee Rasberry'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 John Lee Rasberry is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
When did John Lee Rasberry receive its 1164512117 assignment?
The John Lee Rasberry was assigned its 1164512117 on 2006-10-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to John Lee Rasberry last refreshed?
The information related to the John Lee Rasberry, including its address, specialty, and other relevant details, was last updated on 2023-03-07.