Individual
EDWARD N RALEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3853 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1637
(361) 992-4211
(361) 992-3847
Mailing address
PO BOX 3758, CORPUS CHRISTI, TX 78463-3758
(361) 992-4211
(361) 992-3847
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G9418
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z000BW014
—
TX
Enumeration date
07/07/2005
Last updated
04/12/2010
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