Individual
TRENTON RAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2710 SWISS AVE, DALLAS, TX 75204-5900
(214) 821-1599
Mailing address
4835 LBJ FWY STE 900, DALLAS, TX 75244-6001
(469) 340-1366
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1085948
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2022
Last updated
08/10/2022
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