Rauhut, Medda Michelle

Rauhut, Medda Michelle is an sole proprietor health care provider with primary practice located at 2010 U S Highway 190 W #143, Livingston TX 77351-9601. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Rauhut, Medda Michelle can be contacted via phone (936) 329-2409.

Contact Information

Primary practice address
2010 U S Highway 190 W #143 Livingston TX 77351-9601
Phone: (936) 329-2409
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K4785 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K4785 Texas

Profile Details

NPI number 1538111810
LBN Legal business name Rauhut, Medda Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated May 19th, 2015 - about 10 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 1538111810 NPPES
Texas Other K4785 STATE LICENSE NUMBER
Texas MEDICAID 031570702 STATE LICENSE NUMBER

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