Greaser, Raymond Dale

Greaser, Raymond Dale is an individual health care provider with primary practice located at 205 Woodhew Dr Ste 203 , Waco TX 76712. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Greaser, Raymond Dale can be contacted via phone (254) 732-6632.

Contact Information

Primary practice address
205 Woodhew Dr Ste 203 Waco TX 76712
Phone: (254) 732-6632
Fax: (254) 732-0947
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X S3178 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X S3178 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 4301504095 Michigan

Profile Details

NPI number 1891795688
LBN Legal business name Greaser, Raymond Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Mar 17th, 2022 - about 2 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 1891795688 NPPES
Texas Other 050001470 MEDICARE ID-TYPE UNSPECIFIED
Texas Other 5N769 MEDICARE ID-TYPE UNSPECIFIED
Texas Other G90147 MEDICARE ID-TYPE UNSPECIFIED
Texas MEDICAID 005702593 MEDICARE ID-TYPE UNSPECIFIED
Texas MEDICAID 164149001 MEDICARE ID-TYPE UNSPECIFIED

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