Provider Demographics
NPI:1518223460
Name:RAINER, DREW ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:DREW
Middle Name:ELIZABETH
Last Name:RAINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1313 RED RIVER ST
Mailing Address - Street 2:SUITE A1
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1943
Mailing Address - Country:US
Mailing Address - Phone:512-324-7036
Mailing Address - Fax:
Practice Address - Street 1:6100 HARRIS PKWY STE 140
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4130
Practice Address - Country:US
Practice Address - Phone:817-346-5336
Practice Address - Fax:817-263-3758
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10042804207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology