Gray, Renee Jo

Gray, Renee Jo is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Gray, Renee Jo can be contacted via phone (806) 414-9650.

Contact Information

Primary practice address
1400 S Coulter St Amarillo TX 79106-1786
Phone: (806) 414-9650
Fax: (806) 354-5730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP130421 Texas
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP130421 Texas

Profile Details

NPI number 1356796445
LBN Legal business name Gray, Renee Jo
Credentials WHNP, AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2016
Last updated Nov 28th, 2017 - about 8 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 1356796445 NPPES
New Mexico MEDICAID 05909511
New Mexico MEDICAID 359226301
New Mexico MEDICAID 200649690 A
New Mexico MEDICAID 359226302

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