Individual
DR. JENNIFER LEANNE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1501 W 11TH PL STE 200, BIG SPRING, TX 79720-4121
(857) 304-2644
(617) 562-5313
Mailing address
1501 W 11TH PL STE 200, BIG SPRING, TX 79720-4121
(432) 264-7180
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
T8215
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10065230
TEXAS PIT PERMIT
TX
Enumeration date
04/30/2018
Last updated
06/28/2022
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