Provider Demographics
NPI:1356455653
Name:RANEY, LEWIS ADRON (MD)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:ADRON
Last Name:RANEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 DEGRUMMOND WAY
Mailing Address - Street 2:P.O. BOX 1144
Mailing Address - City:SALADO
Mailing Address - State:TX
Mailing Address - Zip Code:76571
Mailing Address - Country:US
Mailing Address - Phone:254-947-5308
Mailing Address - Fax:254-947-8037
Practice Address - Street 1:1901 S 1ST ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-7451
Practice Address - Country:US
Practice Address - Phone:254-743-2871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC 9309207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology