Individual
REBECCA ELIZABETH RAWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 847408, DALLAS, TX 75284-7408
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M8942
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
14401
NV
Other
Enumeration date
01/29/2009
Last updated
09/20/2012
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