Provider Demographics
NPI:1104021591
Name:RAY FULP ORTHOPEDICS P.A.
Entity Type:Organization
Organization Name:RAY FULP ORTHOPEDICS P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:T
Authorized Official - Last Name:FULP
Authorized Official - Suffix:III
Authorized Official - Credentials:DO
Authorized Official - Phone:956-668-7746
Mailing Address - Street 1:721 LINDBERG AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2913
Mailing Address - Country:US
Mailing Address - Phone:956-668-7746
Mailing Address - Fax:956-668-8338
Practice Address - Street 1:721 LINDBERG AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2913
Practice Address - Country:US
Practice Address - Phone:956-668-7746
Practice Address - Fax:956-668-8338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7963207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty