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NPI Code Detail

MEDICARE: B LYNNE GRAY MD PLLC

MEDICARE: B LYNNE GRAY MD PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/CenterG8145TX

General Provider Information

NPI Number : 1346643459
Entity Type Code : Organization
Provider Name (Legal Business Name) : B LYNNE GRAY MD PLLC
Provider Business Mailing Address
First Line : 12505 HYMEADOW DR STE 2B
Second Line :
City : AUSTIN
State : TX
Zip : 78750-1848
Country : US
Telephone Number : 512-219-8991
Fax Number : 512-219-8996
Provider Business Practice Location Address
First Line : 12505 HYMEADOW DR
Second Line : SUITE 2-A
City : AUSTIN
State : TX
Zip : 78750-1867
Country : US
Telephone Number : 512-219-8991
Fax Number : 512-219-8996
Authorized Official
Title or Position : PHYSICIAN
Name : BARBARA LYNNE GRAY
Credential : MD
Telephone Number : 512-219-8991
Provider Enumeration Date : 10/02/2014
Last Update Date : 07/23/2025

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