Individual
RAETASHA SHEAVETTE DABNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
431 E STATE HIGHWAY 114 STE 470, SOUTHLAKE, TX 76092-4415
(214) 379-2700
(972) 869-3875
Mailing address
7415 LAS COLINAS BLVD STE 100, IRVING, TX 75063-7569
(214) 379-2722
(972) 869-3875
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
N3593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124219449
—
TX
05
—
35439802
—
TX
Enumeration date
08/05/2007
Last updated
04/19/2020
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