MEDICARE: DR. RAYMOND C PERKINS II 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
1	207R00000X	Internal Medicine Physician	H0721	TX
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	H0721	TX
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	H0721	TX
4	207RP1001X	Pulmonary Disease Physician	H0721	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8FU516	OTHER	TX	BCBSTX
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548268501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND C PERKINS II M.D.

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 UNIVERSITY BLVD
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-1032
Country	:	US
Telephone Number	:	512-509-0200
Fax Number	:	512-218-6330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	01/06/2021

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