Provider Demographics
NPI:1497127039
Name:DR. S. M. RAWLS MD PLLC
Entity type:Organization
Organization Name:DR. S. M. RAWLS MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:RAWLS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-955-6881
Mailing Address - Street 1:16310 TOMBALL PKWY UNIT 1503
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1812
Mailing Address - Country:US
Mailing Address - Phone:832-301-0700
Mailing Address - Fax:832-239-5862
Practice Address - Street 1:16310 TOMBALL PKWY UNIT 1503
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-1812
Practice Address - Country:US
Practice Address - Phone:832-301-0700
Practice Address - Fax:832-239-5862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty