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Individual

DR. BRANDON D. GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.P.T., D.P.T.

Contact information

Practice address
11811 FM 1960 RD W, SUITE 102, HOUSTON, TX 77065-3827
(281) 469-8163
(281) 469-5559
Mailing address
11811 FM 1960 RD W, SUITE 102, HOUSTON, TX 77065-3827
(281) 469-8163
(281) 469-5559

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1147810
TX
225100000X
Physical Therapist
6697
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0042RL
BLUE CROSS BLUE SHIELD
TX
01
12407992
MULTIPLAN
TX
01
8T3135
BLUE CROSS BLUE SHIELD
TX
01
8T6003
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/24/2007
Last updated
09/09/2009
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