Provider Demographics
NPI:1053543124
Name:MARKLE, RAE LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:RAE LYNN
Middle Name:
Last Name:MARKLE
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 1:3609 CEDAR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4905
Mailing Address - Country:US
Mailing Address - Phone:214-521-6974
Mailing Address - Fax:214-252-0935
Practice Address - Street 1:3609 CEDAR SPRINGS RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4905
Practice Address - Country:US
Practice Address - Phone:214-521-6974
Practice Address - Fax:214-252-0935
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE68442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry