Individual
KA JUAN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7123 ZIEGLERS GRV, RICHMOND, TX 77469-6032
(832) 718-0763
Mailing address
12210 DRY BLUSH CT, HOUSTON, TX 77048-1138
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
TX
Enumeration date
05/04/2022
Last updated
05/04/2022
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