Individual
GRAY ELLISON HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11800 N INTERSTATE 35, AUSTIN, TX 78753-2211
(512) 284-8660
Mailing address
11800 N INTERSTATE 35, AUSTIN, TX 78753-2211
(512) 284-8660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14180
TX
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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