Provider Demographics
NPI:1053045229
Name:RAY, RONIKA (PA-C)
Entity Type:Individual
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First Name:RONIKA
Middle Name:
Last Name:RAY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:7824 NW WELCO AVE
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-1130
Mailing Address - Country:US
Mailing Address - Phone:571-330-7587
Mailing Address - Fax:
Practice Address - Street 1:4301 WILSON ST
Practice Address - Street 2:
Practice Address - City:FORT SILL
Practice Address - State:OK
Practice Address - Zip Code:73503-4472
Practice Address - Country:US
Practice Address - Phone:833-286-3732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant