Gray, Temora

Gray, Temora is an sole proprietor health care provider with primary practice located at 1001 Pat Brooker Road Suite 207, Universal City TX 78148. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Gray, Temora can be contacted via phone (210) 903-0130.

Contact Information

Primary practice address
1001 Pat Brooker Road Suite 207 Universal City TX 78148
Phone: (210) 903-0130
Fax: (800) 383-9015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 37702 Texas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 37702 Texas
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-15-19471 Texas

Profile Details

NPI number 1871950048
LBN Legal business name Gray, Temora
Credentials PH.D., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2016
Last updated Nov 8th, 2023 - about last year

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 1871950048 NPPES
Texas MEDICAID 405456102

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