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Organization
RAYMOND P MUSSETT MD PLLC
Active
Organization
RAYMOND P MUSSETT MD PLLC
Active
Other names
Roma Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND P MUSSETT MD (PRESIDENT/OWNER)
(956) 849-2176
Entity
Organization
Contact information
Practice address
640 E BRAVO BLVD, ROMA, TX 78584
(956) 849-2176
(956) 849-3439
Mailing address
PO BOX 1120, ROMA, TX 78584
(956) 849-2176
(956) 849-3439
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00734HF
BCBS
TX
05
—
063426301
—
TX
05
—
135201506
—
TX
01
—
827083763
PALMETTO MEDICARE
TX
Enumeration date
08/24/2006
Last updated
10/02/2013
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