Provider Demographics
NPI:1942287248
Name:RACZ, TIBOR ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:TIBOR
Middle Name:ANTHONY
Last Name:RACZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7668 ELDORADO PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5753
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:810 E RALPH HALL PKWY STE 110
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6879
Practice Address - Country:US
Practice Address - Phone:214-817-4225
Practice Address - Fax:972-674-2788
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4458207LP2900X, 2084P2900X, 208VP0000X, 208VP0014X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029801003Medicaid
TXP00197300OtherRR MEDICARE
TX8M8934OtherBCBS
TX029801002Medicaid
TX8M8934OtherBCBS
TX8C9488Medicare PIN
TX029801002Medicaid