Individual
DR. RAYMOND T. DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
7228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605681
BLUECROSS BLUESHIELD TX
TX
01
—
667532
ACN GROUP
TX
01
—
8265913
BLUE LINK
TX
01
—
DC7228
CHIROPRACTIC LICENSE
TX
Enumeration date
05/31/2005
Last updated
01/15/2009
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