Search › Texas › 363AS0400X
Jackie Ray, LSA
NPI 1962866152 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2007 Megan Ct
Wylie, TX 75098 - Phone
- (469) 658-6589
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 246ZC0007X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas