Organization
A CHIROPRACTOR ON HWY 155, INC
Active
Other names
R. Coleman Gray, D.C.
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL COLEMAN GRAY D.C. (OWNER)
(903) 729-3772
Entity
Organization
Contact information
Practice address
2114 STATE HIGHWAY 155, PALESTINE, TX 75803-8606
(903) 729-3772
(903) 723-0920
Mailing address
PO BOX 950, PALESTINE, TX 75802-0950
(903) 729-3772
(903) 723-0920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8293
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750372009
PROVIDER'S NPI
TX
Enumeration date
03/07/2007
Last updated
08/22/2020
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