MEDICARE: ARTHUR L RAINES MD & ASSOCIATES PATHOLOGISTS

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CK2089	OTHER	TX	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1780668418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTHUR L RAINES MD & ASSOCIATES PATHOLOGISTS

Provider Business Mailing Address
First Line	:	PO BOX 421837
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77242-1837
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 WALLS DR
Second Line	:
City	:	CLEBURNE
State	:	TX
Zip	:	76033-4008
Country	:	US
Telephone Number	:	817-429-0123
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ARTHUR L. RAINES
Credential	:	M.D.
Telephone Number	:	817-429-0123

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	03/20/2009

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