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Organization

DR. DUSTIN RAY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DUSTIN L RAY MD (CEO)
(817) 224-2292
Entity
Organization

Contact information

Practice address
777 MAIN ST, 640, FORT WORTH, TX 76102-5304
(817) 224-2292
(866) 279-9993
Mailing address
777 MAIN ST, 640, FORT WORTH, TX 76102-5304
(817) 224-2292
(866) 279-9993

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
10/31/2012
Last updated
10/31/2012
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