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Individual

DR. WILLIAM TODD GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3341 UNICORN LAKE BLVD, DENTON, TX 76210-0102
(469) 814-4475
(469) 814-4480
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L0810
TX
207RC0000X
Cardiovascular Disease Physician
L0810
TX
207RI0011X
Interventional Cardiology Physician
L0180
TX
207RI0011X
Interventional Cardiology Physician
Primary
L0810
TX
207UN0901X
Nuclear Cardiology Physician
L0810
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01095620
MEDICARE RR
TX
Enumeration date
05/23/2006
Last updated
12/11/2023
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