Healthcare Provider Details

I. General information

NPI: 1760967095
Provider Name (Legal Business Name): LRW HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2018
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2504 RIDGE RD STE 207
ROCKWALL TX
75087-2571
US

IV. Provider business mailing address

7668 ELDORADO PKWY STE 300
MCKINNEY TX
75070-5753
US

V. Phone/Fax

Practice location:
  • Phone: 214-817-4225
  • Fax: 972-674-2788
Mailing address:
  • Phone: 214-817-4425
  • Fax: 972-674-2788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TIBOR ANTHONY RACZ
Title or Position: OWNER
Credential: MD
Phone: 972-433-9720