Dabney, Raetasha Sheavette

Dabney, Raetasha Sheavette is an individual health care provider with primary practice located at 431 E State Highway 114 Ste 470 , Southlake TX 76092-4415. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Dabney, Raetasha Sheavette can be contacted via phone (214) 379-2700.

Contact Information

Primary practice address
431 E State Highway 114 Ste 470 Southlake TX 76092-4415
Fax: (972) 869-3875
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X N3593 Texas

Profile Details

NPI number 1124219449
LBN Legal business name Dabney, Raetasha Sheavette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Apr 19th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124219449 NPPES
Texas MEDICAID 1124219449
Texas MEDICAID 35439802

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