Provider Demographics
NPI:1437405131
Name:MURRAY, RAEANN R (OD)
Entity type:Individual
Prefix:
First Name:RAEANN
Middle Name:R
Last Name:MURRAY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 MASON BEND DR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4930
Mailing Address - Country:US
Mailing Address - Phone:512-293-7474
Mailing Address - Fax:
Practice Address - Street 1:4613 BEE CAVE RD #201
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-347-0700
Practice Address - Fax:512-347-0702
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8053T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist