Lookup NPI Numbers from the NPI Registry
NPI Profile for JACKIE RAY JR in WYLIE, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Surgical Assistant |
246ZC0007X |
| NPI # | 1962866152 |
|
| Status | Active | |
| Credentials | LSA | |
| Entity | Individual | |
| Enumeration date | 04/13/2016 | |
| Last updated | 08/02/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JACKIE RAY JR
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JACKIE RAY JR, LSA