Active NPI
Eric I Ray MD PLLC
- Physical Medicine & Rehabilitation Physician
- Southlake, TX
National Provider Identifier
1699100024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- M8943
- Legal business name
- ERIC I RAY MD PLLC
- Practice address
- 731 E Southlake Blvd
Suite 110
Southlake, TX 76092-6377 - Phone
- (817) 898-7277
- Fax
- (817) 527-5119
- NPI assigned
- Sep 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Issac Ray, MD
- Title
- Owner/President
- Phone
- (817) 898-7277
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | M8943 | TX | Primary |
Addresses
Primary practice location
731 E Southlake Blvd
Suite 110
Southlake, TX 76092-6377
Mailing address
731 E Southlake Blvd
Suite 110
Southlake, TX 76092-6377
Phone (817) 898-7277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
731 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 527-5119
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Southlake, TX
- NPI 1598965428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399939200000",
"number": "1699100024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 E SOUTHLAKE BLVD",
"address_2": "SUITE 110",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926377",
"telephone_number": "817-898-7277",
"fax_number": "817-527-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 E SOUTHLAKE BLVD",
"address_2": "SUITE 110",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926377",
"telephone_number": "817-898-7277",
"fax_number": "817-527-5119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC I RAY MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-04",
"last_updated": "2014-05-13",
"status": "A",
"authorized_official_last_name": "RAY",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "ISSAC",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "817-898-7277",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "M8943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.