Provider Demographics
NPI:1447525548
Name:MONTES DE OCA, RAY (PA-S)
Entity type:Individual
Prefix:MR
First Name:RAY
Middle Name:
Last Name:MONTES DE OCA
Suffix:
Gender:M
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 W DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-6664
Mailing Address - Country:US
Mailing Address - Phone:956-457-3626
Mailing Address - Fax:
Practice Address - Street 1:613 W DAVIS RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-6664
Practice Address - Country:US
Practice Address - Phone:956-457-3626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant