Individual
DR. DAVID CABELL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2510 E MAIN ST, SUITE 104, ALICE, TX 78332-4187
(361) 661-8390
(361) 661-8395
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J4167
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044504103
—
TX
05
—
85329301
—
TX
01
—
8X9650
BLUE CROSS BLUE SHIELD
TX
01
—
P00420344
RAILROAD MEDICARE
TX
Enumeration date
08/04/2006
Last updated
08/03/2017
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