Rachael Kendra Dabelic, M.D. P.A.
Family Medicine in Breckenridge, TX. Organization (NPI-2).
NPI number1619919081
StatusActive
Last updated in NPPESJan 31, 2008
Details
- NPI
- 1619919081
- Entity type
- Organization (NPI-2)
- Legal business name
- Rachael Kendra Dabelic, M.D. P.A.
- Organization subpart
- No
- Enumeration date
- Jun 12, 2006
- Last updated
- Jan 31, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
101 S Hartford StSuite A
Breckenridge, TX 76424-4711
Phone 254-559-5441
Mailing address
Po Box 2023Denton, TX 76202-2023
Phone 940-384-6238 · Fax 940-382-7680
Authorized official
Susan Sowder
Coo
9403846238
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