MEDICARE: DR. RAY A VERM 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	174400000X	Specialist

General Provider Information

NPI Number	:	1780719054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAY A VERM M.D.

Provider Business Mailing Address
First Line	:	6560 FANNIN ST STE 1625
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2776
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST STE 1625
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2776
Country	:	US
Telephone Number	:	713-791-1800
Fax Number	:	713-791-1502

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

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	07/16/2007

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Directions to “ DR. RAY A VERM M.D.” Practice Location

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