Dr. Dustin Ray, Pllc

NPI #1366796245 in Fort Worth, Texas

Provider Information

NPI Number: 1366796245
Entity Type: Organization
Organization Name: Dr. Dustin Ray, Pllc
Primary Specialty: Surgery
Enumeration Date: Oct 31, 2012
Last Updated: Oct 31, 2012

Practice Location

Address: 777 MAIN ST
Address 2: 640
City: Fort Worth
State: Texas
ZIP Code: 76102-5304
Phone: (817) 224-2292

Authorized Official

Name: DR. DUSTIN L RAY, MD
Title: CEO
Phone: (817) 224-2292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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