Healthcare Provider Details

I. General information

NPI: 1437225703
Provider Name (Legal Business Name): REBECCA L. EUWER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 05/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 MEDICAL PARKWAY #105
DALLAS TX
75234-7852
US

IV. Provider business mailing address

9 MEDICAL PARKWAY #105
DALLAS TX
75234-7852
US

V. Phone/Fax

Practice location:
  • Phone: 972-243-4530
  • Fax: 972-406-1950
Mailing address:
  • Phone: 972-243-4530
  • Fax: 972-406-1950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberH2364
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberH2364
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: