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1285980730
PHILLIP RAY
FORT WORTH, TX
NPI
1285980730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA07869)
Enumeration Date
2012-08-01
Last Update Date
2021-04-21
Business Address
PHILLIP RAY PA-C
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-4095
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Mailing Address
PHILLIP RAY PA-C
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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