Organization
DOMINIC L RACO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC RACO (OWNER-PHYSICIAN)
(972) 540-7788
Entity
Organization
Contact information
Practice address
4510 MEDICAL CENTER DR, SUITE 313, MCKINNEY, TX 75069-1650
(972) 540-7788
(972) 540-7787
Mailing address
4510 MEDICAL CENTER DR, SUITE 313, MCKINNEY, TX 75069-1650
(972) 540-7788
(972) 540-7787
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069NV
BCBS
TX
Enumeration date
09/29/2006
Last updated
08/22/2020
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