Provider Demographics
NPI:1972796613
Name:DUNAGIN, RACHEL LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LEE
Last Name:DUNAGIN
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:PO BOX 910042
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-0042
Mailing Address - Country:US
Mailing Address - Phone:972-792-5700
Mailing Address - Fax:214-349-7707
Practice Address - Street 1:9301 N CENTRAL EXPY
Practice Address - Street 2:SUITE 670
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0806
Practice Address - Country:US
Practice Address - Phone:214-345-5616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7154207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AD593OtherBCBS
TX193568601Medicaid
TX193568601Medicaid