| Dennis Raymond, M.d.pa | |
|
5485 Belt Line Rd Suite 160 Dallas TX 75254-7698 | |
| (972) 392-2882 | |
| Not Available |
| Full Name | Dennis Raymond, M.d.pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5485 Belt Line Rd, Dallas, Texas |
| Authorized Official Name and Position | Dennis Michael Raymond (OWNER) |
| Authorized Official Contact | 9723922882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Raymond, M.d.pa 5485 Belt Line Rd Suite 160 Dallas TX 75254-7698 Ph: (972) 392-2882 | Dennis Raymond, M.d.pa 5485 Belt Line Rd Suite 160 Dallas TX 75254-7698 Ph: (972) 392-2882 |
| NPI Number | 1568729739 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 04/12/2012 |
| Medicare PECOS PAC ID | 2860656550 |
|---|---|
| Medicare Enrollment ID | O20120608000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568729739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Dennis M Raymond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790765048 PECOS PAC ID: 6507020476 Enrollment ID: I20120606000345 |
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