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Randell R Ray Pc
Clinic/Center in Cleburne, Texas
NPI 1972837094

Randell R Ray Pc is a Clinic/Center based in Bedford, TX. Randell R Ray Pc practices in Cleburne, TX. The NPI Number for Randell R Ray Pc is 1972837094 and holds a License No. 2873TG (Texas).

The current practice location address for Randell R Ray Pc is 1616 W Henderson St, Cleburne, TX and can be reached out via phone at 817-526-5558 and via fax at 817-526-5825.

Location: 1616 W Henderson St, Cleburne, TX, 76022-6778
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972837094
Provider Name
Randell R Ray Pc
Credential
Provider Entity Type
Organization
Address
1616 W Henderson St, Cleburne, TX, 76022-6778
Phone Number
817-526-5558
Fax Number
817-526-5825
Provider Enumeration Date
09/22/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0014FG 01 TX BLUE CROSS BLUE SHIELD OF TEXAS
institution
Provider Business Practice Location Address Details
Address
1616 W Henderson St
City
Cleburne
State
Texas
Zip
76033-4123
Phone Number
817-526-5558
Fax Number
817-526-5825
person
Provider Business Mailing Address Details
Address
1616 W Henderson St
City
Cleburne
State
Texas
Zip
76033-4123
Phone Number
817-526-5558
Fax Number
817-526-5825
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
2873TG (Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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