Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RAYFIELD WAYNE JEFFERSON SR.
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · COLDSPRING, TX
Registration Details
- NPI Number
- 1114165495
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2009 (17.234737822619 yrs)
- Last Updated
- Jan 26, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
2330 FM 222COLDSPRING, TX, 77331Browse TX providers · Browse ZIP 77331
- Phone
- 9366534113
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.