Rachael Kendra Dabelic, M.D. P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RACHAEL KENDRA DABELIC, M.D. P.A.

Practice address

101 S Hartford St
Suite a
Breckenridge, TX 76424-4711

Phone

(254) 559-5441

NPI assigned

Jun 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Sowder, CPC, CCP

Title

Coo

Phone

(940) 384-6238

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1619919081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2023",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762022023",
            "telephone_number": "940-384-6238",
            "fax_number": "940-382-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S HARTFORD ST",
            "address_2": "SUITE A",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244711",
            "telephone_number": "254-559-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHAEL KENDRA DABELIC, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "SOWDER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "940-384-6238",
        "authorized_official_credential": "CPC, CCP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0088NC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Breckenridge, TX
• Providers in Breckenridge, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.