Provider Demographics
NPI:1508157546
Name:MAYER, RORY RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:RORY
Middle Name:RICHARD
Last Name:MAYER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:6080 N CENTRAL EXPY STE 150
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5202
Mailing Address - Country:US
Mailing Address - Phone:214-823-2052
Mailing Address - Fax:214-823-3797
Practice Address - Street 1:6080 N CENTRAL EXPY STE 150
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5202
Practice Address - Country:US
Practice Address - Phone:214-823-2052
Practice Address - Fax:214-823-3797
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10044188207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery