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Individual

DR. DAVID GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3500 N MIDKIFF RD, SUITE 100, MIDLAND, TX 79705-4834
(432) 699-1300
(432) 694-1981
Mailing address
3500 N MIDKIFF RD, STE100, MIDLAND, TX 79705-4834
(432) 699-1300
(432) 694-1981

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6216TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
161462002
TX
01
80898Q
BCBS
TX
01
P00033777
MEDICARE RAILROAD
TX
Enumeration date
08/14/2006
Last updated
02/17/2010
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