# MID-SOUTH HEMOPHILIA AND THROMBOSIS CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073421392
- **Authorized official:** MR. ERIC D GRAY (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (317) 871-0000

## Contact information

- **Practice address:** 2996 KATE BOND RD STE 105, BARTLETT, TN 38133-4062
- **Practice address phone:** (317) 871-0000
- **Mailing address:** 8326 NAAB RD, INDIANAPOLIS, IN 46260-1920
- **Mailing address phone:** (317) 871-0000
- **Mailing address fax:** (317) 871-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | NULL | Yes |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2026
- **Last updated:** 08/28/2026