Individual
MR. RAYFIELD WAYNE JEFFERSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2330 FM 222, COLDSPRING, TX 77331
(936) 653-4113
Mailing address
PO BOX 142, COLDSPRING, TX 77331-0142
(936) 653-4113
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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