Individual
DR. JEANNIE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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, SUITE 100, MIDLAND, TX 79705-4834
(432) 699-1300
(432) 694-1981
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6390TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1614646002
—
TX
01
—
80899Q
BCBS
TX
Enumeration date
08/14/2006
Last updated
02/17/2010
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