Provider Demographics
NPI:1336340884
Name:PRISCILLA RAY MD PA
Entity Type:Organization
Organization Name:PRISCILLA RAY MD PA
Other - Org Name:PSYCHIATRIC ASSOCIATES OF HOUSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-797-0112
Mailing Address - Street 1:6624 FANNIN ST
Mailing Address - Street 2:SUITE 2120
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2312
Mailing Address - Country:US
Mailing Address - Phone:713-797-0112
Mailing Address - Fax:713-790-9578
Practice Address - Street 1:6624 FANNIN ST
Practice Address - Street 2:SUITE 2120
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2312
Practice Address - Country:US
Practice Address - Phone:713-797-0112
Practice Address - Fax:713-790-9578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2808103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00K68DMedicare ID - Type Unspecified
TXP93581Medicare UPIN
TXC20890Medicare UPIN