Organization Active NPI

Westley E. Raborn D.O., P.a.

  • General Practice Physician
  • Mesquite, TX
National Provider Identifier
1174853675
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E2326 Issued in TX
Legal business name
WESTLEY E. RABORN D.O., P.A.
Practice address
1336 N Galloway Ave
Suite 150
Mesquite, TX 75149-7417
Phone
(972) 329-6160
Fax
(972) 289-0177
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Dr. Westley E Raborn, D.O.
Title
President
Phone
(972) 329-6160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X E2326 TX Primary

Addresses

Primary practice location

1336 N Galloway Ave
Suite 150
Mesquite, TX 75149-7417

Mailing address

PO Box 851347
Mesquite, TX 75185-1347
Phone (972) 329-6160

National Provider Directory

National Provider Directory

Locations

1336 N Galloway Ave
Ste 150
Mesquite, TX 75149
Phone (972) 329-6160

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1174853675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851347",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751851347",
            "telephone_number": "972-329-6160",
            "fax_number": "972-289-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 N GALLOWAY AVE",
            "address_2": "SUITE 150",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751497417",
            "telephone_number": "972-329-6160",
            "fax_number": "972-289-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLEY E. RABORN D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "RABORN",
        "authorized_official_first_name": "WESTLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-329-6160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "E2326",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 5, 2010; 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.