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Organization
J TIM RAINEY, DDS, P.C.
Active
Organization
J TIM RAINEY, DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J TIM RAINEY DDS (OWNER)
(361) 526-4695
Entity
Organization
Contact information
Practice address
606 OSAGE ST, REFUGIO, TX 78377-3229
(361) 526-4695
(361) 526-4697
Mailing address
PO BOX 1044, REFUGIO, TX 78377-1044
(361) 526-4695
(361) 526-4697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085409-02
—
TX
Enumeration date
05/22/2012
Last updated
05/22/2012
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