Individual
DR. BILL GEORGE GRAY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5425 POLK ST, SUITE J, MAIL CODE 1906, HOUSTON, TX 77023-1497
(713) 767-3471
(713) 767-3036
Mailing address
2410 OLD DIXIE DR, RICHMOND, TX 77406-6818
(281) 723-3064
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
12731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090478101
—
TX
Enumeration date
09/17/2009
Last updated
09/17/2009
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