Thomas, Raymond Russell

Thomas, Raymond Russell is an individual health care provider with primary practice located at 610 South Austin Road , Eagle Lake TX 77434-3202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Thomas, Raymond Russell can be contacted via phone (979) 234-2551.

Contact Information

Primary practice address
610 South Austin Road Eagle Lake TX 77434-3202
Phone: (979) 234-2551
Fax: (979) 234-5994
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F7227 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X F7227 Texas

Profile Details

NPI number 1770500365
LBN Legal business name Thomas, Raymond Russell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Nov 3rd, 2009 - about 17 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 1770500365 NPPES
Texas MEDICAID 136696509

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