Healthcare Provider Details

I. General information

NPI: 1982127791
Provider Name (Legal Business Name): MRS. SABRA RAGSDALE MASTERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SABRA RAGSDALE ENTREKIN SABRA SUE RAGSDALE

II. Dates (important events)

Enumeration Date: 07/24/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 E 15TH ST STE 204
PLANO TX
75074-6238
US

IV. Provider business mailing address

1201 E 15TH ST STE 204
PLANO TX
75074-6238
US

V. Phone/Fax

Practice location:
  • Phone: 888-568-4271
  • Fax: 972-727-6239
Mailing address:
  • Phone: 888-568-4271
  • Fax: 972-727-6239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0002X
TaxonomyHigh-Risk Obstetric Registered Nurse
License Number619005
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: