Provider Demographics
NPI:1780668418
Name:ARTHUR L RAINES MD & ASSOCIATES PATHOLOGISTS
Entity Type:Organization
Organization Name:ARTHUR L RAINES MD & ASSOCIATES PATHOLOGISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:L
Authorized Official - Last Name:RAINES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-429-0123
Mailing Address - Street 1:PO BOX 421837
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-1837
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 WALLS DR
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-4008
Practice Address - Country:US
Practice Address - Phone:817-429-0123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-06
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCK2089OtherRAILROAD MEDICARE
TX00J199Medicare ID - Type UnspecifiedGROUP NUMBER