Organization
MARK RAY MD DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KIRKLIN RAY MD (OWNER)
(972) 988-9945
Entity
Organization
Contact information
Practice address
2601 LITTLE ELM PKWY, SUITE 101, LITTLE ELM, TX 75068-6677
(972) 988-9945
(469) 393-7707
Mailing address
1008 LONG ISLES LN, LEWISVILLE, TX 75056-5684
(972) 896-8824
(469) 393-9945
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
04/13/2021
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