Organization Name: | RAY W NG DPM PA |
NPI Number: | 1134485311 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAY W NG (OWNER) |
Mailing Address: | 1880 W Moore Ave Ste 3 Terrell |
State: | TX US |
Postal Code: | 751602350 |
Phone Number: | 9725243668 |
Fax Number: | 9725632294 |
NPI Enumeration Date: | 04/02/2012 |
NPI Last Update Date: | 04/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 1070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |