Jack Michael Raisanen, MD

Pathologist in Dallas, Texas · NPI 1083673115

Jack Raisanen is one of 205 pathologists practicing in Dallas, Texas. Jack Raisanen practices with University Of Texas Southwestern Medical Center At Dallas.

Registry record (NPPES)

NPI
1083673115
Type
Type 1 · Individual
Primary taxonomy
Pathology, Neuropathology · 207ZN0500X
Address on file
5323 Harry Hines Blvd
Dallas, TX 75390-7208
(214) 648-1620
Enumerated
Mar 18, 2006
Record last updated
Dec 1, 2007
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Pathology
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.