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Individual

MS. CHELSEA MARIE GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8140 N MOPAC EXPY STE 3-210, AUSTIN, TX 78759-8862
(512) 343-2292
(512) 343-2745
Mailing address
8140 N MOPAC EXPY STE 3-210, AUSTIN, TX 78759-8862
(512) 343-2292
(512) 343-2745

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P9356
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10036844
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3410326-01
TX
01
BP10036844
PHYSICIAN IN TRAINING LICENSE
TX
Enumeration date
05/13/2010
Last updated
08/17/2015
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