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NPI Code Detail

MEDICARE: DANIEL RASOR MD, PA

MEDICARE: DANIEL RASOR MD, PA
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
1174400000XSpecialistH5354TX

General Provider Information

NPI Number : 1194955344
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANIEL RASOR MD, PA
Provider Business Mailing Address
First Line : 912 S CAPITAL OF TEXAS HWY
Second Line : STE 100
City : WEST LAKE HILLS
State : TX
Zip : 78746-5264
Country : US
Telephone Number : 512-306-8360
Fax Number : 512-306-8176
Provider Business Practice Location Address
First Line : 912 S CAPITAL OF TEXAS HWY
Second Line : STE 100
City : WEST LAKE HILLS
State : TX
Zip : 78746-5264
Country : US
Telephone Number : 512-306-8360
Fax Number : 512-306-8176
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. REBECCA ANN WISE
Credential :
Telephone Number : 512-279-4402
Provider Enumeration Date : 07/22/2009
Last Update Date : 07/22/2009

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Directions to “DANIEL RASOR MD, PA ” Practice Location

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