Individual
MELISSA A RASCHBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
907 E EUREKA, SUITE B, WEATHERFORD, TX 76086
(817) 598-9325
(817) 599-4902
Mailing address
PO BOX 163694, WEATHERFORD, TX 76161-3694
(888) 274-9585
(405) 948-6507
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5488016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143148801
—
TX
Enumeration date
06/30/2006
Last updated
03/25/2014
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