Individual provider · Type 1 NPI

John Lee Rasberry, PA-C

Medical Physician Assistant · Lubbock, TX

NPI number 1164512117 Active

Practice location

8602 Peach Ave, Tthsc/tdcj/john T. Montford Medical/psych Unit
Lubbock, TX 79404-7777

Fax (806) 745-7554

Mailing address

11211 N County Road 1500
Shallowater, TX 79363-3019

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00720 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1164512117

John Lee Rasberry, PA-C's National Provider Identifier is 1164512117, issued on Oct 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lubbock, TX. The record was last updated on Mar 7, 2023.