Provider Demographics
NPI:1932191012
Name:RAY, PAMELA SUE (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:SUE
Last Name:RAY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:PAMELA
Other - Middle Name:SUE
Other - Last Name:BERLANGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5419 FREDERICKSBURG RD
Mailing Address - Street 2:OAK HILLS PERIODONTICS - DR. PAMELA RAY
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3503
Mailing Address - Country:US
Mailing Address - Phone:210-616-0980
Mailing Address - Fax:210-614-1122
Practice Address - Street 1:5419 FREDERICKSBURG RD
Practice Address - Street 2:OAK HILLS PERIODONTICS - DR. PAMELA RAY
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3503
Practice Address - Country:US
Practice Address - Phone:210-616-0980
Practice Address - Fax:210-614-1122
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX159411223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics