Individual
HEATHER D RASNAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3131 TROUP HWY, TYLER, TX 75701-8350
(903) 510-7006
(903) 510-7010
Mailing address
PO BOX 5500, TYLER, TX 75712-5500
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02480
TX
Other
Enumeration date
03/14/2006
Last updated
01/21/2015
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