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Individual

MR. RAYMOND STAINBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6624 FANNIN ST STE 2480, HOUSTON, TX 77030-2309
(713) 798-5570
Mailing address
6624 FANNIN ST STE 2480, HOUSTON, TX 77030-2309
(713) 798-5570

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
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