Individual
MRS. CONSTANCE NICHOLS RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/CPNP
Contact information
Practice address
4001 WEST 15TH STREET, SUITE 375, PLANO, TX 75093-5862
(972) 612-5346
(972) 599-1331
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
237290
TX
363L00000X
Nurse Practitioner
Primary
AP108817
TX
Other
Enumeration date
06/06/2017
Last updated
06/03/2020
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