Basic Information
| Provider Information | |||||||||
| NPI: | 1922016617 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAY | ||||||||
| FirstName: | STERLING | ||||||||
| MiddleName: | H. | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | III | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 26726 | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787550726 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124078686 | ||||||||
| FaxNumber: | 5124066216 | ||||||||
| Practice Location | |||||||||
| Address1: | 1401 MEDICAL PKWY BLDG B | ||||||||
| Address2: | |||||||||
| City: | CEDAR PARK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786137763 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123244083 | ||||||||
| FaxNumber: | 5123244717 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2006 | ||||||||
| LastUpdateDate: | 11/15/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | M2036 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 185073702 | 05 | TX | MEDICAID | 185073704 | 05 | TX | MEDICAID | 8W4781 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | 185073701 | 05 | TX | MEDICAID | 185073703 | 05 | TX | MEDICAID | 185073705 | 05 | TX | MEDICAID | P00387794 | 01 | TX | RAILROAD MEDICARE | OTHER |