Gray, Chad
Gray, Chad is an sole proprietor health care provider with primary practice located at 706 Avenue G , Marble Falls TX 78654-5866. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gray, Chad can be contacted via phone (830) 693-8234.Contact Information
Primary practice address
706 Avenue G
Marble Falls TX 78654-5866
Phone: (830) 693-8234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L4403 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 49822 | Colorado |
Profile Details
| NPI number | 1134191760 |
|---|---|
| LBN Legal business name | Gray, Chad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Oct 1st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134191760 | NPPES |
| Colorado | MEDICAID | 38078368 |
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