Ray Chan M.D. PLLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

K0439 Issued in TX

Legal business name

RAY CHAN M.D. PLLC

Practice address

1329 E Pioneer Pkwy
Arlington, TX 76010-5868

Phone

(817) 265-2672

Fax

(817) 801-5933

NPI assigned

Dec 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ray Chan, M.D.

Title

President

Phone

(817) 265-2672

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1902174485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 E PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105868",
            "telephone_number": "817-265-2672",
            "fax_number": "817-801-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 E PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105868",
            "telephone_number": "817-265-2672",
            "fax_number": "817-801-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY CHAN M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-265-2672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "TX",
            "license": "K0439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127639604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jarna Rathod-Bhatt, DPM
• Rava Healthcare LLC
• Antionette Labarbra Ravenell
• Deven Mahesh Rawlani, BDS, MDS (PROS.)
• Rawlings B Tanyi
• Ray of Hope HCS
• Ashley Ray, CO
• Jasmine Ray
• Ryan Arlie Ray, RN
• Thomas Benjamin Ray, D.C.

• Ophthalmologic Surgery Clinic/Center in Arlington, TX
• Providers in Arlington, TX by specialty
• Ophthalmologic Surgery Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.