MEDICARE: DR. S. M. RAWLS MD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician		TX

General Provider Information

NPI Number	:	1497127039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. S. M. RAWLS MD PLLC

Provider Business Mailing Address
First Line	:	16310 TOMBALL PKWY UNIT 1503
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-1812
Country	:	US
Telephone Number	:	832-301-0700
Fax Number	:	832-239-5862

Provider Business Practice Location Address
First Line	:	16310 TOMBALL PKWY UNIT 1503
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-1812
Country	:	US
Telephone Number	:	832-301-0700
Fax Number	:	832-239-5862

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STACEY LAWRENCE RAWLS
Credential	:	M.D.
Telephone Number	:	252-955-6881

Provider Enumeration Date	:	10/22/2015
Last Update Date	:	10/30/2024

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