Raymond A Faires
Plastic and Reconstructive Surgery
1325 Pennsylvania Ave Suite 325
Fort Worth
, Texas 76104-2175
Raymond A Faires
Plastic and Reconstructive Surgery
1325 Pennsylvania Ave Suite 325
Fort Worth
, Texas 76104-2175
(817) 332-2372
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Raymond A Faires
- Po Box 961205
- Fort Worth, TX
- Zip : 76161-1205
- Fax : (817) 332-2372
- Phone : (817) 740-8400
Second Address
- Raymond A Faires
- 1325 Pennsylvania Ave Suite 325
- Fort Worth, TX
- Zip : 76104-2175
- Fax : (817) 332-2372
- Phone : (817) 878-5325
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | E6342 | TX |
National Provider Identifier
| NPI | 1306863998 |
|---|---|
| Provider Name | Raymond A Faires |
| First Address | Fort Worth, TX 76161-1205 |
| Second Address | Fort Worth, TX 76104-2175 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 30/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 130279607 | (05) | TX |
| 240008035 | RAILROAD MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.