Individual
DR. JOSEPH R. RAUB JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 847408, DALLAS, TX 75284-7408
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307019-01
CSHCN
TX
05
—
1307019-02
—
TX
05
—
1307019-05
—
TX
01
—
190009738
RR/MEDICARE
TX
01
—
83459F
BLUE SHIELD
TX
Enumeration date
04/20/2006
Last updated
12/22/2021
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