Individual
DR. BRANDON D. GRAY
Active
Individual
DR. BRANDON D. GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T., D.P.T.
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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