Provider Demographics
NPI:1275970824
Name:RASCO, MEAGAN DEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEAGAN
Middle Name:DEE
Last Name:RASCO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 PIZARRO AVE
Mailing Address - Street 2:
Mailing Address - City:RANCHO VIEJO
Mailing Address - State:TX
Mailing Address - Zip Code:78575-9635
Mailing Address - Country:US
Mailing Address - Phone:956-408-0499
Mailing Address - Fax:956-542-5998
Practice Address - Street 1:1725 CENTRAL BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8328
Practice Address - Country:US
Practice Address - Phone:956-541-3624
Practice Address - Fax:956-542-5998
Is Sole Proprietor?:No
Enumeration Date:2013-05-22
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28890122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist