Healthcare Provider Details

I. General information

NPI: 1821533787
Provider Name (Legal Business Name): MMV ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2017
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date: 04/18/2019
Reactivation Date: 08/22/2022

III. Provider practice location address

10400 N CENTRAL EXPY
DALLAS TX
75231-2297
US

IV. Provider business mailing address

10400 N CENTRAL EXPY
DALLAS TX
75231-2297
US

V. Phone/Fax

Practice location:
  • Phone: 888-544-3339
  • Fax: 214-853-5728
Mailing address:
  • Phone: 888-544-3339
  • Fax: 214-853-5728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DUSTIN RAY
Title or Position: OWNER
Credential: MD
Phone: 888-544-3339