Individual
RACHEL BETH RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-6405
Mailing address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-6405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4948
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100732910-A
GROUP MEDICAID
OK
01
—
73-1042545
GROUP MEDICARE
OK
01
—
731042545001
GROUP TRICARE
OK
Enumeration date
04/22/2009
Last updated
06/15/2015
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