Individual
LESLIE ANN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-8250
(214) 645-8251
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-8250
(214) 645-8251
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
1136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0443270001
RAILROAD MEDICARE
—
05
—
086893706
—
TX
Enumeration date
03/28/2006
Last updated
07/30/2008
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