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Individual

MR. JOHN LEE RASBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
8602 PEACH AVE, TTHSC/TDCJ/JOHN T. MONTFORD MEDICAL/PSYCH UNIT, LUBBOCK, TX 79404-7777
(806) 745-1021
(806) 745-7554
Mailing address
11211 N COUNTY ROAD 1500, SHALLOWATER, TX 79363-3019
(806) 832-1832
(806) 832-0918

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00720
TX

Other

Enumeration date
10/13/2006
Last updated
03/07/2023
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