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NPI Code Detail

MEDICARE: ANITA RAO

MEDICARE: ANITA RAO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianR2949TX

General Provider Information

NPI Number : 1437578002
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA RAO
Provider Business Mailing Address
First Line : 3414 28TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79410-2710
Country : US
Telephone Number : 214-669-6929
Fax Number :
Provider Business Practice Location Address
First Line : 6416 BROADWAY ST
Second Line :
City : GALVESTON
State : TX
Zip : 77551-1033
Country : US
Telephone Number : 409-772-3695
Fax Number : 409-772-3680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2014
Last Update Date : 09/28/2023

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Directions to “ ANITA RAO ” Practice Location

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