DERRIS W RAY

Dr DERRIS W RAY is a male medical professional, specializing in Family Medicine. He graduated in 1977 from Louisiana State University School Of Medicine In New Orleans.

Contact

309 WALNUT ST
SUITE D
AMITE
LA
704222055

Tel: 9857485158

DERRIS W RAY Information

Npi 1780679746
Pac Id 0941351001
Professional Enrollment Id I20090701000011
Last Name RAY
First Name DERRIS
Middle Name W
Suffix
Gender M
Credential
Medical School Name LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year 1977
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 309 WALNUT ST
Line 2 Street Address SUITE D
Marker Of Address Line 2 Suppression
City AMITE
State LA
Zip Code 704222055
Phone Number 9857485158
Hospital Affiliation Ccn 1 191309
Hospital Affiliation Lbn 1 HOOD MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 190015
Hospital Affiliation Lbn 2 NORTH OAKS MEDICAL CENTER, L L C
Hospital Affiliation Ccn 3 190064
Hospital Affiliation Lbn 3 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 4 191313
Hospital Affiliation Lbn 4 RIVERSIDE MEDICAL CENTER
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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