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Individual

AUSTIN RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7500 STONEBROOK PKWY STE 103, FRISCO, TX 75034-5378
(972) 377-7117
Mailing address
7500 STONEBROOK PKWY STE 103, FRISCO, TX 75034-5378

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14349
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2796318
752777200
TX
Enumeration date
03/17/2020
Last updated
03/17/2020
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