MEDICARE: THOMAS BRADLEY RAPER 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	207RP1001X	Pulmonary Disease Physician	L9442	TX
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	L9442	TX
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	L9442	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417995044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS BRADLEY RAPER M.D.

Provider Business Mailing Address
First Line	:	10100 N CENTRAL EXPY
Second Line	:	SUITE 560
City	:	DALLAS
State	:	TX
Zip	:	75231-4159
Country	:	US
Telephone Number	:	469-916-0087
Fax Number	:	469-916-0089

Provider Business Practice Location Address
First Line	:	8220 WALNUT HILL LN STE 408
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4417
Country	:	US
Telephone Number	:	214-361-9777
Fax Number	:	214-891-0084

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

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	02/19/2020

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