| Gerald L Ray, DO | |
|
601 S Main St Ste 200, Keller, TX 76248-7028 | |
| (682) 549-3311 | |
| (855) 538-2620 |
| Full Name | Gerald L Ray |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 601 S Main St Ste 200, Keller, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720067119 | NPI | - | NPPES |
| 145286404 | Medicaid | TX | |
| 8F4535 | Other | TX | BCBS |
| 930122549 | Other | TX | MEDICARE RAILROAD |
| 145286406 | Medicaid | TX | |
| 145286403 | Medicaid | TX | |
| 145286405 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K6260 (Texas) | Primary |
| 207P00000X | Emergency Medicine | K6260 (Texas) | Secondary |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114395969 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Entity Name | Be Well Primary Care Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447774344 PECOS PAC ID: 7517225675 Enrollment ID: O20171218003203 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald L Ray, DO 601 S Main St Ste 200, Keller, TX 76248-7028 Ph: (682) 549-3311 | Gerald L Ray, DO 601 S Main St Ste 200, Keller, TX 76248-7028 Ph: (682) 549-3311 |
Pamela Brooke Martin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 N Rufe Snow Dr, Keller, TX 76248 Phone: 817-753-7300 Fax: 817-431-0367 | |
Lori Ann Neill Faglie, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 121 Quest Ct, Keller, TX 76248 Phone: 817-431-9199 Fax: 833-973-3672 | |
James A Taki, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 S Main St, Suite 240, Keller, TX 76248 Phone: 817-912-8150 Fax: 817-912-8160 | |
Dr. Nicholas Aaron Broughton, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bourland Rd Ste D, Keller, TX 76248 Phone: 833-818-8383 Fax: 817-889-8134 | |
Dr. Tommy Brent Duncan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3529 Heritage Trace Pkwy, Ste 137, Keller, TX 76248 Phone: 817-741-7960 Fax: 817-741-7582 | |
Dr. Anna G White, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 S Main St, Keller, TX 76248 Phone: 817-431-2800 | |
Roger L Tolar Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Bourland Rd Ste 170, Keller, TX 76248 Phone: 817-741-2001 Fax: 817-741-2015 |