Individual
DAVID DILLARD GRAYSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7900 FM 1826, AUSTIN, TX 78737-1407
(254) 771-8600
Mailing address
807 CANYON CREEK DR, AUSTIN, TX 78746-2826
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
F9496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137415905
—
TX
05
—
137415907
—
TX
Enumeration date
05/08/2006
Last updated
10/30/2008
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