Individual
ERIC ISAAC RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
731 E SOUTHLAKE BLVD, STE 110, SOUTHLAKE, TX 76092-6377
(817) 898-7277
(817) 527-5119
Mailing address
731 E SOUTHLAKE BLVD, STE 110, SOUTHLAKE, TX 76092-6377
(817) 898-7277
(817) 527-5119
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
M8943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8X9706
BCBS OF TEXAS
TX
Enumeration date
07/19/2007
Last updated
01/30/2014
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