Provider Demographics
NPI:1720815152
Name:DEAR-RAWLINGS, DOROTHY LEA
Entity type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:LEA
Last Name:DEAR-RAWLINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4319 SUN FLS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78244-3223
Mailing Address - Country:US
Mailing Address - Phone:210-517-9987
Mailing Address - Fax:
Practice Address - Street 1:4319 SUN FLS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78244-3223
Practice Address - Country:US
Practice Address - Phone:210-517-9987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24-351327106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician