Most Relevant Information
Provider Data
| NPI Number: | 1003555178 |
| Provider Name: | TRENTON RAFF NP |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/27/2022 |
| Last Updated: | 08/10/2022 |
Provider Practice Location
2710 SWISS AVE
DALLAS
TX
752045900
Practice Location Phone/Fax
| Phone: | 2148211599 |
| Fax: |
Provider Mailing Location
4835 LBJ FWY STE 900
DALLAS
TX
752446001
Provider Mailing Phone/Fax
| Phone: | 4693401366 |
| Fax: |