Individual
MR. RAYMOND STAINBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H5494
TX
207RC0000X
Cardiovascular Disease Physician
Primary
H5494
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060033419
MCR RAILROAD
TX
05
—
101989501
—
TX
01
—
38170
AMERIGROUP
TX
01
—
82T4DM
BCBS
TX
Enumeration date
09/01/2006
Last updated
05/01/2025
Update your record
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