Doctor Name: | DR. RAYMOND LUIS CAPPS |
NPI Number: | 1891735478 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D.,PA |
License Number: | H4212 |
Business Practice Address: | 1050 N Belt Line Rd Suite 104 Mesquite, TX - 751491782 |
Business Phone Number: | 9722858981 |
Business Fax Number: | 9722165845 |
Mailing Address: | 1050 N. Beltline Rd. Suite 104, Suite 104 MESQUITE |
State: | TX |
Postal Code: | 751491782 |
Phone Number: | 9722858981 |
Fax Number: | 9722165845 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | H4212 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |