Provider Demographics
NPI:1922016617
Name:RAY, STERLING H III (MD)
Entity Type:Individual
Prefix:
First Name:STERLING
Middle Name:H
Last Name:RAY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 26726
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78755-0726
Mailing Address - Country:US
Mailing Address - Phone:512-407-8686
Mailing Address - Fax:512-406-6216
Practice Address - Street 1:1401 MEDICAL PKWY BLDG B
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7763
Practice Address - Country:US
Practice Address - Phone:512-324-4083
Practice Address - Fax:512-324-4717
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2036207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX185073702Medicaid
TX185073704Medicaid
TX8W4781OtherBLUE CROSS BLUE SHIELD
TX185073701Medicaid
TX185073703Medicaid
TX185073705Medicaid
TXP00387794OtherRAILROAD MEDICARE
TXP01219356Medicare PIN
TXTXB155477Medicare PIN
TXTXB155478Medicare PIN
TXP00387794OtherRAILROAD MEDICARE
TX185073703Medicaid
TX8J3518Medicare PIN
TX8K5570Medicare PIN