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NPI Code Detail

MEDICARE: DR. ANDREA RAYMOND M.D.

MEDICARE: DR. ANDREA RAYMOND 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
12084N0600XClinical Neurophysiology PhysicianL5543TX
22084N0400XNeurology PhysicianL5543TX

General Provider Information

NPI Number : 1538181920
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREA RAYMOND M.D.
Provider Business Mailing Address
First Line : 6210 E HWY 290 STE 240
Second Line :
City : AUSTIN
State : TX
Zip : 78723-1144
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2785 E 7TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78702-3907
Country : US
Telephone Number : 737-910-6700
Fax Number : 512-406-6296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/27/2023

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Directions to “ DR. ANDREA RAYMOND M.D.” Practice Location

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