Raymond, Ky

Raymond, Ky is an sole proprietor health care provider with primary practice located at 3551 Roger Brooke Dr , San Antonio TX 78234-4504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Raymond, Ky can be contacted via phone (801) 369-7015.

Contact Information

Primary practice address
3551 Roger Brooke Dr San Antonio TX 78234-4504
Fax:
Website:

Profile Details

NPI number 1306430491
LBN Legal business name Raymond, Ky
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2021
Last updated Dec 16th, 2022 - about 4 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 1306430491 NPPES
Texas MEDICAID 1234567

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