Individual provider · NPI-1

Barbara Gray

Nurse Practitioner, Pediatrics · Richardson, TX

NPI number1730315243
StatusActive
Last updated in NPPESJun 18, 2009

Details

NPI
1730315243
Entity type
Individual (NPI-1)
Name
Barbara Gray
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2009
Last updated
Jun 18, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics459618TXYes

Practice location

1427 Stagecoach Dr
Richardson, TX 75080-5720

Phone 972-253-4208

Mailing address

1427 Stagecoach Dr
Richardson, TX 75080-5720

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