=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407780752
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HAMILTON CHRISTIAN SELMAN GRAY LMSW
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/11/2026
-----------------------------------------------------
Last Update Date | 06/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3619 PAESANOS PKWY STE 302
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78231-1259
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 833-210-4673
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2800 BOOT RANCH CIR
-----------------------------------------------------
City | FREDERICKSBURG
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78624-2305
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-688-4835
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 114444
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------