Gray, Renee S

Gray, Renee S is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Gray, Renee S can be contacted via phone (903) 525-1913.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Phone: (903) 525-1913
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X ARNP2765272 Florida
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 534760 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP120134 Texas

Profile Details

NPI number 1467531194
LBN Legal business name Gray, Renee S
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Apr 1st, 2016 - 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 1467531194 NPPES
Texas Other 847N58 BCBS
Texas MEDICAID 283755101 BCBS
Texas Other 752616977042 BCBS

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