Organization Active NPI

Ray Fulp Orthopedics P.a.

  • Orthopaedic Surgery of the Spine Physician
  • McAllen, TX
National Provider Identifier
1104021591
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
J7963 Issued in TX
Legal business name
RAY FULP ORTHOPEDICS P.A.
Practice address
721 Lindberg Ave
McAllen, TX 78501-2913
Phone
(956) 668-7746
Fax
(956) 668-8338
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ray T Fulp III, D.O.
Title
Owner
Phone
(956) 668-7746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X J7963 TX Primary

Addresses

Primary practice location

721 Lindberg Ave
McAllen, TX 78501-2913

Mailing address

721 Lindberg Ave
McAllen, TX 78501-2913
Phone (956) 668-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070709000428 TX Part B Supplier - Clinic/Group Practice 3072613850 Receives reassigned benefits from 2 practitioners
Practice locations: Brownsville, TX; McAllen, TX; Rio Grande City, TX

National Provider Directory

National Provider Directory

Locations

100 E Alton Gloor Blvd
Ste 100A
Brownsville, TX 78526
Phone (956) 350-7000

7500 Barlite Blvd
Ste 309
San Antonio, TX 78224
Phone (210) 924-9000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1104021591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012913",
            "telephone_number": "956-668-7746",
            "fax_number": "956-668-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012913",
            "telephone_number": "956-668-7746",
            "fax_number": "956-668-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY FULP ORTHOPEDICS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "FULP",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-668-7746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "J7963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.