Provider Demographics
NPI:1699144907
Name:RAY, DEBRA CHRISTINE
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:CHRISTINE
Last Name:RAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11255 GARLAND RD STE 1130
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-2573
Mailing Address - Country:US
Mailing Address - Phone:972-682-5757
Mailing Address - Fax:972-682-6611
Practice Address - Street 1:11255 GARLAND RD STE 1130
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-2573
Practice Address - Country:US
Practice Address - Phone:972-682-5757
Practice Address - Fax:972-682-6611
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128072363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily