Provider Demographics
NPI:1790765048
Name:RAYMOND, DENNIS M (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:M
Last Name:RAYMOND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5495 BELT LINE RD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7683
Mailing Address - Country:US
Mailing Address - Phone:972-392-2882
Mailing Address - Fax:972-392-4407
Practice Address - Street 1:5495 BELT LINE RD
Practice Address - Street 2:SUITE 260
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7683
Practice Address - Country:US
Practice Address - Phone:972-392-2882
Practice Address - Fax:972-392-4407
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG83622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00B75JOtherBCBSTX
TX00B75JOtherBCBSTX