Ray, Gerald L
Ray, Gerald L is an individual health care provider with primary practice located at 501 E Broad St , Mansfield TX 76063-1709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ray, Gerald L can be contacted via phone (817) 473-6750.Contact Information
Primary practice address
501 E Broad St
Mansfield TX 76063-1709
Phone: (817) 473-6750
Fax: (817) 477-1708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K6260 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | K6260 | Texas |
Profile Details
| NPI number | 1720067119 |
|---|---|
| LBN Legal business name | Ray, Gerald L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Aug 17th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720067119 | NPPES |
| Texas | MEDICAID | 145286404 | |
| Texas | Other | 8F4535 | |
| Texas | Other | 930122549 | |
| Texas | MEDICAID | 145286406 | |
| Texas | MEDICAID | 145286403 | |
| Texas | MEDICAID | 145286405 |
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