Bray, Amanda Elizabeth

Bray, Amanda Elizabeth is an individual health care provider with primary practice located at 2900 E 29Th St Ste 200 , Bryan TX 77802-2623. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Bray, Amanda Elizabeth can be contacted via phone (979) 436-0485.

Contact Information

Primary practice address
2900 E 29Th St Ste 200 Bryan TX 77802-2623
Phone: (979) 436-0485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Q3855 Texas

Profile Details

NPI number 1972863223
LBN Legal business name Bray, Amanda Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2012
Last updated Feb 28th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972863223 NPPES
Texas MEDICAID 357640701

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