Doctor profile · Federal record

Dr. Jackie Ray, Lsa

Surgical Physician Assistant · Surgical Assistant · Wylie, TX

  • NPI 1962866152
  • 10 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2007 Megan CT
Wylie, TX 75098
(469) 658-6589

Credentials & registration

NPPES · NUCC
NPI registered
April 2016 — 10 yrs on file
Profile last updated
August 2, 2018
Specialty taxonomy
363AS0400X — NUCC code
State license (1)
Texas #SA00672

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1962866152. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$143
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
OMNIlife science, Inc 1 $142.70

By nature of payment

Food and Beverage
$143

Frequently asked questions

Auto-generated from federal data
What is Dr. Jackie Ray's medical specialty?
Dr. Jackie Ray practices Surgical Physician Assistant in Wylie, TX.
Where does Dr. Jackie Ray practice?
Dr. Jackie Ray practices at 2007 Megan CT, Wylie, TX 75098. Office phone: 4696586589.
What is Dr. Jackie Ray's NPI?
Dr. Jackie Ray's National Provider Identifier (NPI) is 1962866152, issued by NPPES.