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NPI Code Detail

MEDICARE: DR. DREW ELIZABETH RAINER M.D.

MEDICARE: DR. DREW ELIZABETH RAINER M.D.
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
1207V00000XObstetrics & Gynecology PhysicianBP10042804TX

General Provider Information

NPI Number : 1518223460
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DREW ELIZABETH RAINER M.D.
Provider Business Mailing Address
First Line : 1313 RED RIVER ST
Second Line : SUITE A1
City : AUSTIN
State : TX
Zip : 78701-1943
Country : US
Telephone Number : 512-324-7036
Fax Number :
Provider Business Practice Location Address
First Line : 6100 HARRIS PKWY STE 140
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4130
Country : US
Telephone Number : 817-346-5336
Fax Number : 817-263-3758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2012
Last Update Date : 02/21/2018

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