Faires, Raymond A
Faires, Raymond A is an individual health care provider with primary practice located at 1325 Pennsylvania Ave Suite 325, Fort Worth TX 76104-2175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Faires, Raymond A can be contacted via phone (817) 878-5325.Contact Information
Primary practice address
1325 Pennsylvania Ave Suite 325
Fort Worth TX 76104-2175
Phone: (817) 878-5325
Fax: (817) 332-2372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | E6342 | Texas |
Profile Details
| NPI number | 1306863998 |
|---|---|
| LBN Legal business name | Faires, Raymond A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Sep 30th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306863998 | NPPES |
| Other | 240008035 | RAILROAD MEDICARE | |
| MEDICAID | 130279607 | RAILROAD MEDICARE |
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