Provider Demographics
NPI:1306969696
Name:COURET, RAUL JR (MD)
Entity type:Individual
Prefix:DR
First Name:RAUL
Middle Name:
Last Name:COURET
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:264 NEW SHACKLE ISLAND ROAD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-2481
Mailing Address - Country:US
Mailing Address - Phone:615-824-4244
Mailing Address - Fax:615-824-5917
Practice Address - Street 1:264 NEW SHACKLE ISLAND ROAD
Practice Address - Street 2:SUITE 107
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2481
Practice Address - Country:US
Practice Address - Phone:615-824-4244
Practice Address - Fax:615-824-5917
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2012-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD43521207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3001820Medicaid
TN103I081900Medicare UPIN