Raney, Robert Ewing

Raney, Robert Ewing is an individual health care provider with primary practice located at 303 E Hildebrand Ave Ste 3, San Antonio TX 78212-2476. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Raney, Robert Ewing can be contacted via phone (210) 828-6357.

Contact Information

Primary practice address
303 E Hildebrand Ave Ste 3 San Antonio TX 78212-2476
Phone: (210) 828-6357
Fax: (210) 828-7460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10073 Texas

Profile Details

NPI number 1124021522
LBN Legal business name Raney, Robert Ewing
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jul 8th, 2007 - about 17 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 1124021522 NPPES
Texas Other 670864 TRICARE PROVIDER ID
Texas Other 2364 TRICARE PROVIDER ID
Texas Other 994823 TRICARE PROVIDER ID
Texas Other 26404 TRICARE PROVIDER ID

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