Healthcare Provider Details

I. General information

NPI: 1720290448
Provider Name (Legal Business Name): CHARLES F. GRAY, PH.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8303 SOUTHWEST FWY SUITE 330
HOUSTON TX
77074-1600
US

IV. Provider business mailing address

8303 SOUTHWEST FWY SUITE 330
HOUSTON TX
77074-1600
US

V. Phone/Fax

Practice location:
  • Phone: 713-774-2122
  • Fax: 713-774-3223
Mailing address:
  • Phone: 713-774-2122
  • Fax: 713-774-3223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number16215
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number16215
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number16215
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number22982
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number23341
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number23341
License Number StateTX
# 7
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number22982
License Number StateTX
# 8
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number23341
License Number StateTX
# 9
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number22982
License Number StateTX
# 10
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number23341
License Number StateTX
# 11
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number22982
License Number StateTX
# 12
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number16215
License Number StateTX

VIII. Authorized Official

Name: DR. CHARLES F GRAY
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 713-774-2122