Raymond Westbrook DO PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RAYMOND WESTBROOK DO PA

Practice address

520 E Northwest Hwy Ste 102
Grapevine, TX 76051

Phone

(817) 328-1922

Fax

(817) 328-1933

NPI assigned

Jul 19, 2018

Organization subpart

Yes

Parent organization

RAYMOND WESTBROOK DO PAAs reported in NPPES

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

Authorized official

Name

Stacy Lyles Hawkins

Title

Credentialing

Phone

(361) 356-3110

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Genesis Integrated Medicine Doing business as

Part of

Raymond Westbrook DO PA

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Raymond Westbrook DO PA

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1285021287
  NPPES parent name

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1164908463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MATLOCK RD STE 105",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152529",
            "telephone_number": "817-786-3040",
            "fax_number": "817-786-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E NORTHWEST HWY STE 102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-328-1922",
            "fax_number": "817-328-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND WESTBROOK DO PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAYMOND WESTBROOK DO PA",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LYLES",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "361-356-3110"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045797004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045797003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045797005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Integrated Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesis Integrated Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Edmund J Rauschuber, OTR, CHT
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• Internal Medicine Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.