Individual
DR. CAROL COLEMAN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
3600 GASTON AVENUE, WADLEY TOWER, SUITE 760, DALLAS, TX 75246
(214) 826-6110
(214) 828-9127
Mailing address
3600 GASTON AVENUE, WADLEY TOWER, SUITE 760, DALLAS, TX 75246
(214) 826-6110
(214) 828-9127
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D9463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82798Z
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/25/2006
Last updated
03/04/2008
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