Gray, Rel Larkin

Gray, Rel Larkin is an individual health care provider with primary practice located at 206 E Reynolds Drive Suite C2, Ruston LA 71270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gray, Rel Larkin can be contacted via phone (318) 251-1000.

Contact Information

Primary practice address
206 E Reynolds Drive Suite C2 Ruston LA 71270
Fax: (318) 251-1002
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 010367 Louisiana

Profile Details

NPI number 1639188527
LBN Legal business name Gray, Rel Larkin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1639188527 NPPES
Louisiana MEDICAID 1119032

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