Provider Demographics
NPI:1083663074
Name:PASCOE, RANA S (MD)
Entity Type:Individual
Prefix:
First Name:RANA
Middle Name:S
Last Name:PASCOE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6435 S FM 549 STE 201
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6225
Mailing Address - Country:US
Mailing Address - Phone:214-771-3712
Mailing Address - Fax:214-771-3796
Practice Address - Street 1:6435 S FM 549 STE 201
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:TX
Practice Address - Zip Code:75032-6225
Practice Address - Country:US
Practice Address - Phone:214-771-3712
Practice Address - Fax:214-771-3796
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3871207Q00000X, 207QA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080172602OtherRR MEDICARE
TX1016891-01Medicaid
TX81142JOtherBCBS
TX81142JMedicare PIN
TXTXB122562Medicare PIN
TX8L13586Medicare PIN
TX81142JOtherBCBS
TX8L13588Medicare PIN
TX8L13587Medicare PIN