Karen D Rasile Phd Pllc | |
105 E Main St Brenham TX 77833-3849 | |
(979) 530-8616 | |
(979) 421-6039 |
Full Name | Karen D Rasile Phd Pllc |
---|---|
Speciality | Psychologist |
Location | 105 E Main St, Brenham, Texas |
Authorized Official Name and Position | Karen R Rasile (OWNER) |
Authorized Official Contact | 9795308616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Karen D Rasile Phd Pllc Po Box 2346 Brenham TX 77834-2346 Ph: (979) 530-8616 | Karen D Rasile Phd Pllc 105 E Main St Brenham TX 77833-3849 Ph: (979) 530-8616 |
NPI Number | 1104183706 |
---|---|
Provider Enumeration Date | 04/19/2012 |
Last Update Date | 11/21/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104183706 | NPI | - | NPPES |
131122707 | Medicaid | TX | |
87277A | Other | TX | BCBS |
P000K98HZ | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 24055 (Texas) | Primary |
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