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Contact Information

RAYMOND WESTBROOK DO PA
520 E NORTHWEST HWY STE 102
GRAPEVINE, TX76051
 Phone: 817-328-1922
 Fax: 817-328-1933
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RAYMOND WESTBROOK DO PA

NPI Number 1164908463
LBN Legal business name RAYMOND WESTBROOK DO PA
Authorized official STACY HAWKINS - (CREDENTIALING)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/19/2018
Last updated 07/30/2018 - About 8 years ago
Identifiers
TX Medicaid 045797003
TX Medicaid 045797004
TX Medicaid 045797005
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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