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Kathryn Squiers Raseman

Pediatrics

Allopathic & Osteopathic Physicians

1935 Medical District Dr, Dallas, TX 75235-7701

PECOS Enrollment

This provider is enrolled in PECOS as KATHRYN SQUIERS.

Based on the most recent information from CMS, provider Kathryn Squiers Raseman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1710482039
Provider Type
Individual
Full Name
Raseman, Kathryn Squiers
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/28/2018
Last Updated
6/20/2025

Contact Information

Practice Location

1935 Medical District Dr, Dallas, TX 75235-7701

(214) 456-8131

Unlisted Fax

Mailing Location

5323 Harry Hines Blvd, Dallas, TX 75390-7201

(214) 648-2966

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License V8372 Texas
Code 2080H0002X	Description Pediatrics Allopathic & Osteopathic Physicians	License V8372 Texas

Kathryn Squiers Raseman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Spalding, Susan H.

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Shah, Sachin Hitesh

Lezama, Liz Eliuz

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Yu, Michael

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Chen, Ashley

Ahmad Anwar, Ayesha