Provider Demographics
NPI:1558561811
Name:RASKA, JANET (CST)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:RASKA
Suffix:
Gender:F
Credentials:CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6118 PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2455
Mailing Address - Country:US
Mailing Address - Phone:361-883-2000
Mailing Address - Fax:361-883-0573
Practice Address - Street 1:6118 PARKWAY DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414
Practice Address - Country:US
Practice Address - Phone:361-883-2000
Practice Address - Fax:361-883-0573
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102664246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist