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Individual

RACHEL I SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9301 N CENTRAL EXPY TWR 2, STE 180, DALLAS, TX 75231-0821
(214) 253-0202
(214) 253-0203
Mailing address
9301 N CENTRAL EXPY TWR 2, STE 180, DALLAS, TX 75231
(214) 253-0202
(214) 253-0203

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
S1281
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598978553
TX
Enumeration date
04/13/2012
Last updated
08/14/2019
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