Provider Demographics
NPI:1538502034
Name:HOUSE, RAYANNE LEE (MD)
Entity type:Individual
Prefix:DR
First Name:RAYANNE
Middle Name:LEE
Last Name:HOUSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19819 BROKEN CACTUS DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7232
Mailing Address - Country:US
Mailing Address - Phone:281-214-2179
Mailing Address - Fax:
Practice Address - Street 1:2150 W 18TH ST STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1289
Practice Address - Country:US
Practice Address - Phone:281-214-2179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA301862208000000X
TXS7677208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics