Llanos, Raul Mauricio

Llanos, Raul Mauricio is an individual health care provider with primary practice located at 2535 Ira E Woods Ave , Grapevine TX 76051-3930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Llanos, Raul Mauricio can be contacted via phone (817) 481-2121.

Contact Information

Primary practice address
2535 Ira E Woods Ave Grapevine TX 76051-3930
Phone: (817) 481-2121
Fax: (817) 488-4493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X N5816 Texas

Profile Details

NPI number 1114127867
LBN Legal business name Llanos, Raul Mauricio
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Apr 27th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114127867 NPPES
Texas Other 8DC265 BCBSTX
Texas MEDICAID 299654801 BCBSTX

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