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NPI Code Detail

MEDICARE: RAYMOND A ONI R.N.

MEDICARE:   RAYMOND A ONI  R.N.
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
1311ZA0620XAdult Care Home FacilityTX

General Provider Information

NPI Number : 1417123357
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND A ONI R.N.
Provider Business Mailing Address
First Line : 4326 MERIDEN CT
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-4337
Country : US
Telephone Number : 469-583-4564
Fax Number : 817-557-5434
Provider Business Practice Location Address
First Line : 5626 CREEKHOLLOW DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76018-2433
Country : US
Telephone Number : 469-583-4564
Fax Number : 817-557-5434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2008
Last Update Date : 05/01/2008

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Directions to “ RAYMOND A ONI R.N.” Practice Location

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