Provider Demographics
NPI:1013933498
Name:RAYTEX HOME HEALTH
Entity Type:Organization
Organization Name:RAYTEX HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:RAEANN
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-230-0030
Mailing Address - Street 1:208 DALTON DR
Mailing Address - Street 2:STE. 101
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-4414
Mailing Address - Country:US
Mailing Address - Phone:972-230-0030
Mailing Address - Fax:972-230-6270
Practice Address - Street 1:208 DALTON DR
Practice Address - Street 2:STE. 101
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-4414
Practice Address - Country:US
Practice Address - Phone:972-230-0030
Practice Address - Fax:972-230-6270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX679162251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTPI155008901Medicaid
TX679162Medicare PIN