Ray, Gary Wendell
Ray, Gary Wendell is an sole proprietor health care provider with primary practice located at 2505 S Carrier Pkwy , Grand Prairie TX 75052-5017. He recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as his primary health care specialty. Ray, Gary Wendell can be contacted via phone (972) 264-0268.Contact Information
Primary practice address
2505 S Carrier Pkwy
Grand Prairie TX 75052-5017
Phone: (972) 264-0268
Fax: (972) 262-1750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1497915433 |
|---|---|
| LBN Legal business name | Ray, Gary Wendell |
| Credentials | R. PH. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2008 |
| Last updated | Nov 7th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497915433 | NPPES |
| Texas | MEDICAID | 141836 |
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