Provider Demographics
NPI:1427328673
Name:RAYFORD ER MANAGEMENT COMPANY LLC
Entity type:Organization
Organization Name:RAYFORD ER MANAGEMENT COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOPARTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-419-1599
Mailing Address - Street 1:25440 I-45 NORTH
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1343
Mailing Address - Country:US
Mailing Address - Phone:281-419-1599
Mailing Address - Fax:281-419-5885
Practice Address - Street 1:25440 INTERSTATE 45
Practice Address - Street 2:SUITE 300
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1343
Practice Address - Country:US
Practice Address - Phone:281-419-1599
Practice Address - Fax:281-419-5885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2481146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty