Provider Demographics
NPI:1639845563
Name:KING, RAYMUND CAMILO (MD, JD)
Entity Type:Individual
Prefix:DR
First Name:RAYMUND
Middle Name:CAMILO
Last Name:KING
Suffix:
Gender:M
Credentials:MD, JD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6860 DALLAS PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-4242
Mailing Address - Country:US
Mailing Address - Phone:214-697-0870
Mailing Address - Fax:972-294-3297
Practice Address - Street 1:6860 DALLAS PKWY STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-4242
Practice Address - Country:US
Practice Address - Phone:214-697-0870
Practice Address - Fax:972-294-3297
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ0044208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice