Active NPI
Westley Eugene Raborn, D.O.
- Family Medicine Physician
- Mesquite, TX
National Provider Identifier
1013910082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E2326
- Practice address
- 2704 N Galloway Ave
Ste 103
Mesquite, TX 75150-6378 - Phone
- (214) 660-2500
- Fax
- (214) 660-2535
- NPI assigned
- May 24, 2005
- Last updated
- Oct 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E2326 | TX | Primary |
Addresses
Primary practice location
2704 N Galloway Ave
Ste 103
Mesquite, TX 75150-6378
Mailing address
PO Box 741184
Atlanta, GA 30374-1184
Phone (214) 660-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130858708 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Family Medicine | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1013910082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741184",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741184",
"telephone_number": "214-660-2500",
"fax_number": "214-660-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 N GALLOWAY AVE",
"address_2": "STE 103",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751506378",
"telephone_number": "214-660-2500",
"fax_number": "214-660-2535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABORN",
"first_name": "WESTLEY",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E2326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130858708",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.