Individual
DENNIS C RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2555 JIMMY JOHNSON BLVD, PORT ARTHUR, TX 77640-2007
(409) 724-7389
Mailing address
PO BOX 8730, FORT WORTH, TX 76124-0730
(817) 451-4208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J3583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138320019
—
TX
01
—
8EC252
BCBSTX
TX
01
—
8R9684
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/09/2006
Last updated
09/21/2015
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