Provider Demographics
NPI:1699987651
Name:RAY, PETER CAMPBELL (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:CAMPBELL
Last Name:RAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8300 DOUGLAS AVE STE 731
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-5825
Mailing Address - Country:US
Mailing Address - Phone:214-739-8600
Mailing Address - Fax:214-739-1611
Practice Address - Street 1:8300 DOUGLAS AVE STE 731
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5825
Practice Address - Country:US
Practice Address - Phone:214-739-8600
Practice Address - Fax:214-739-1611
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE74932080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics