Beau Ashley Gray, CSFA
Specialist/Technologist, Other, Surgical Assistant in Iowa Park, TX. Individual provider (NPI-1).
NPI number1760883151
StatusActive
Last updated in NPPESSep 5, 2014
Details
- NPI
- 1760883151
- Entity type
- Individual (NPI-1)
- Name
- Mr. Beau Ashley Gray
- Credential
- CSFA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 4, 2014
- Last updated
- Sep 5, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 146086 | TX | Yes |
Practice location
824 N Bond StIowa Park, TX 76367-1728
Phone 940-636-2448
Mailing address
824 N Bond StIowa Park, TX 76367-1728
Phone 940-636-2448
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Other Surgical Assistant providers in Iowa Park, TX
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