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Organization

DENTON ERDOCS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARRY KEN GRAY MD (PRESIDENT)
(940) 898-7000
Entity
Organization

Contact information

Practice address
3000 N INTERSTATE 35, DENTON, TX 76201-5119
(940) 898-7000
Mailing address
PO BOX 8526, FORT WORTH, TX 76124-0526
(817) 451-4208

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0037HQ
BLUECROSS BLUESHIELD
TX
Enumeration date
05/23/2006
Last updated
09/11/2025
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