Individual
MRS. SHAWN ROONEY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
857 E. VIRGINIA, BEAUMONT, TX 77705
(409) 880-8466
(409) 880-7703
Mailing address
857 E. VIRGINIA, BEAUMONT, TX 77705
(409) 880-8466
(409) 880-7703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
618115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N9839
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/12/2006
Last updated
11/24/2010
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