Individual
DR. EBONY N. RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3105 W 15TH ST STE E, PLANO, TX 75075
(469) 597-7281
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(177) 408-4008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
S1243
TX
208D00000X
General Practice Physician
S1243
TX
208M00000X
Hospitalist Physician
S1243
TX
Other
Enumeration date
04/13/2016
Last updated
02/23/2022
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