Individual
SHOBHA S RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
J8101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117536604
—
TX
05
—
117536606
—
TX
Enumeration date
03/24/2006
Last updated
11/07/2018
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