Raley, Stephen Paul

Raley, Stephen Paul is an individual health care provider with primary practice located at 1001 Hewitt Dr , Waco TX 76712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Raley, Stephen Paul can be contacted via phone (254) 202-7800.

Contact Information

Primary practice address
1001 Hewitt Dr Waco TX 76712
Phone: (254) 202-7800
Fax: (254) 202-7856
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E8831 Texas

Profile Details

NPI number 1336111996
LBN Legal business name Raley, Stephen Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Sep 3rd, 2020 - about 4 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 1336111996 NPPES
Texas MEDICAID 131813104
Texas Other 80Y493

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