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NPI Code Detail

MEDICARE: RAY PAGE D.O.

MEDICARE: RAY PAGE D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology PhysicianJ2247TX

General Provider Information

NPI Number : 1669422143
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAY PAGE D.O.
Provider Business Mailing Address
First Line : 800 W MAGNOLIA AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4611
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 920 SANTA FE DR
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5864
Country : US
Telephone Number : 817-759-7000
Fax Number : 817-759-7027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 02/06/2025

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Directions to “ RAY PAGE D.O.” Practice Location

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