Individual
RENEE S GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 525-1913
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP120134
TX
363LN0000X
Neonatal Nurse Practitioner
534760
TX
363LN0000X
Neonatal Nurse Practitioner
ARNP2765272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283755101
—
TX
01
—
752616977042
TRICARE
TX
01
—
847N58
BCBS
TX
Enumeration date
11/03/2006
Last updated
02/27/2026
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