Gleason, Raleigh R
Gleason, Raleigh R is an individual health care provider with primary practice located at 1201 Fairmount Ave , Fort Worth TX 76104-4215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gleason, Raleigh R can be contacted via phone (817) 335-5288.Contact Information
Primary practice address
1201 Fairmount Ave
Fort Worth TX 76104-4215
Phone: (817) 335-5288
Fax: (817) 338-0927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | H0387 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | H0387 | Texas |
Profile Details
| NPI number | 1316931876 |
|---|---|
| LBN Legal business name | Gleason, Raleigh R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Jul 25th, 2023 - about last year |
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 | 1316931876 | NPPES |
| Texas | MEDICAID | 127732904 |
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