Gray, Bill George

Gray, Bill George is an individual health care provider with primary practice located at 5425 Polk St Suite J, Mail Code 1906, Houston TX 77023-1497. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Gray, Bill George can be contacted via phone (713) 767-3471.

Contact Information

Primary practice address
5425 Polk St Suite J, Mail Code 1906 Houston TX 77023-1497
Fax: (713) 767-3036
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 12731 Texas

Profile Details

NPI number 1568795805
LBN Legal business name Gray, Bill George
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2009
Last updated Sep 17th, 2009 - about 15 years 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 1568795805 NPPES
Texas MEDICAID 090478101

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