MEDICARE: LOVEITA RAYMOND MD

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	208000000X	Pediatrics Physician	T-2479	TX
2	207K00000X	Allergy & Immunology Physician	T-2479	TX
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207R00000X	Internal Medicine Physician	T-2479	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	T2479	OTHER	TX	TEXAS MEDICAL BOARD

General Provider Information

NPI Number	:	1891157228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOVEITA RAYMOND MD

Provider Business Mailing Address
First Line	:	1700 W FM 700
Second Line	:
City	:	BIG SPRING
State	:	TX
Zip	:	79720-4120
Country	:	US
Telephone Number	:	432-264-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 W FM 700
Second Line	:
City	:	BIG SPRING
State	:	TX
Zip	:	79720-4120
Country	:	US
Telephone Number	:	432-264-1900
Fax Number	:

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

Provider Enumeration Date	:	03/24/2016
Last Update Date	:	06/21/2022

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Directions to “ LOVEITA RAYMOND MD” Practice Location

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