Jefferson, Rayfield Wayne

Jefferson, Rayfield Wayne is an sole proprietor health care provider with primary practice located at 2330 Fm 222 , Coldspring TX 77331. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Jefferson, Rayfield Wayne can be contacted via phone (936) 653-4113.

Contact Information

Primary practice address
2330 Fm 222 Coldspring TX 77331
Phone: (936) 653-4113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1114165495
LBN Legal business name Jefferson, Rayfield Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2009
Last updated Jan 26th, 2009 - about 16 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.

Request for update

Popular Providers