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NPI Code Detail

MEDICARE: DR. AMY M RAY DO

MEDICARE: DR. AMY M RAY DO
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
1207Q00000XFamily Medicine PhysicianP0660TX
2207P00000XEmergency Medicine PhysicianP0660TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18KK733OTHERTXBCBSTX
28DK499OTHERTXBCBS-TX

General Provider Information

NPI Number : 1568630192
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY M RAY DO
Provider Business Mailing Address
First Line : 18333 EGRET BAY BLVD STE 140
Second Line :
City : HOUSTON
State : TX
Zip : 77058-3239
Country : US
Telephone Number : 281-332-3001
Fax Number : 281-332-3005
Provider Business Practice Location Address
First Line : 18333 EGRET BAY BLVD STE 140
Second Line :
City : HOUSTON
State : TX
Zip : 77058-3239
Country : US
Telephone Number : 281-332-3001
Fax Number : 281-332-3005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2008
Last Update Date : 05/09/2024

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