Individual
MR. RAY ANTOINE DRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 S BRYANT AVE, SUITE 203, EDMOND, OK 73034-6399
(405) 348-3100
(405) 348-6785
Mailing address
105 S BRYANT AVE, SUITE 203, EDMOND, OK 73034-6399
(405) 348-3100
(405) 348-6785
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10967
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100450A
—
OK
Enumeration date
11/14/2005
Last updated
12/11/2009
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