Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DERRIS WAYNE RAY, M.D.
Active Sole ProprietorDR. DERRIS WAYNE RAY, M.D. is a General Practice healthcare provider located in AMITE, Louisiana. NPI 1780679746 is currently active in the NPPES registry. Verify at CMS.
General Practice · AMITE, LA
Registration Details
- NPI Number
- 1780679746
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2005 (20.943711650183 yrs)
- Last Updated
- Jul 24, 2019
- License
-
14423 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
309 WALNUT STSTE DAMITE, LA, 704222055Browse LA providers · Browse ZIP 70422
- Phone
- 9857485158
- Fax
- 9857489942
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.