Raul Palacios Jr., RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT85505 Issued in TX

Practice address

5406 Colgate St
Lubbock, TX 79416-3205

Phone

(806) 507-3540

NPI assigned

May 15, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1104448828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 45TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143219",
            "telephone_number": "806-281-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 COLGATE ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163205",
            "telephone_number": "806-507-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "RAUL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M Pair, LPC ASSOCIATE
• Beverly Pair, PH.D.
• Mallary Paitz, OTD, OTR/L
• Richard Luis Pajares, M.D.
• Maximiliano Medina Palacios
• Rohan Paladugu
• Emily Catherine Pali, PHD
• Madeleine Alexis Palmer, MD
• Warden Lamar Palmer, APRN
• Pampa Orthopedics and Rehab, LP

• Registered Dietitian in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.