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Individual

DR. CHAD GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
706 AVENUE G, MARBLE FALLS, TX 78654-5866
(830) 693-8234
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
49822
CO
207Q00000X
Family Medicine Physician
Primary
L4403
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38078368
CO
Enumeration date
02/07/2006
Last updated
10/01/2013
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