Provider Demographics
NPI:1902945355
Name:RAY, CARRI HODGE (MS)
Entity Type:Individual
Prefix:MRS
First Name:CARRI
Middle Name:HODGE
Last Name:RAY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:CARRI
Other - Middle Name:LEEANNE
Other - Last Name:HODGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3600 FM 2181
Mailing Address - Street 2:#300
Mailing Address - City:HICKORY CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:75065-7636
Mailing Address - Country:US
Mailing Address - Phone:940-321-1311
Mailing Address - Fax:940-497-1374
Practice Address - Street 1:2122 RUFE SNOW DR
Practice Address - Street 2:#114
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-5691
Practice Address - Country:US
Practice Address - Phone:940-321-1311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80217231H00000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist