Provider Demographics
NPI:1144667742
Name:LINENFELSER, RAVINA RAJESH (DO)
Entity type:Individual
Prefix:
First Name:RAVINA
Middle Name:RAJESH
Last Name:LINENFELSER
Suffix:
Gender:F
Credentials:DO
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Other - First Name:
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Mailing Address - Street 1:1505 LBJ FWY STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-6065
Mailing Address - Country:US
Mailing Address - Phone:214-358-2300
Mailing Address - Fax:214-579-6945
Practice Address - Street 1:1411 N BECKLEY AVE STE 370
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1513
Practice Address - Country:US
Practice Address - Phone:214-358-2300
Practice Address - Fax:214-579-6983
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ9706207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ9706OtherMEDICAL LICENSE