Organization
ERIC I RAY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ISSAC RAY MD (OWNER/PRESIDENT)
(817) 898-7277
Entity
Organization
Contact information
Practice address
731 E SOUTHLAKE BLVD, SUITE 110, SOUTHLAKE, TX 76092-6377
(817) 898-7277
(817) 527-5119
Mailing address
731 E SOUTHLAKE BLVD, SUITE 110, SOUTHLAKE, TX 76092-6377
(817) 898-7277
(817) 527-5119
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M8943
TX
Other
Enumeration date
09/04/2013
Last updated
05/13/2014
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