Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 1455 | TX |
N | 222Z00000X | Podiatrist | 1455 | TX |
Y | 224P00000X | Prosthetist | 1455 | TX |
NPI | 1245598242 |
---|---|
Provider Name | Ashley Ray |
First Address | Arlington, TX 76015-2934 |
Second Address | Arlington, TX 76015-2934 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2012 |
Last Update Date | 26/04/2012 |