Active NPI
Raymond J Mailloux, MD
- Family Medicine Physician
- Sherman, TX
National Provider Identifier
1245248608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E9787
- Practice address
- 1000 S FM 1417
Sherman, TX 75092-4865 - Phone
- (903) 892-2133
- Fax
- (903) 893-6317
- NPI assigned
- Aug 3, 2006
- 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 | E9787 | TX | Primary |
Addresses
Primary practice location
1000 S FM 1417
Sherman, TX 75092-4865
Mailing address
6006 Firecrest Dr
Garland, TX 75044-4208
Phone (903) 814-5955
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06701680675 | Other | MEDICAL EDUCATION NUMBER | |
| 0981532-01 | 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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E9787 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHP Texas MD Services, Inc | Family Medicine | Past | Accepting new patients |
| Hillcrest Healthcare Services Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Sherman, TX
- NPI 1164463576
-
- General Practice Physician
- Harker Heights, TX
- NPI 1841562667
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284854400000",
"number": "1245248608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6006 FIRECREST DR",
"city": "GARLAND",
"state": "TX",
"postal_code": "750444208",
"telephone_number": "903-814-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S FM 1417",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750924865",
"telephone_number": "903-892-2133",
"fax_number": "903-893-6317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAILLOUX",
"first_name": "RAYMOND",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2010-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E9787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EDUCATION NUMBER",
"identifier": "06701680675",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0981532-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.