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General NPI Number Information
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NPI Number | 1760687537
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Entity Type | Individual
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Provider Name | KATHERINE GRAY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 6205 WESTCREEK DR STE 105
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City | FORT WORTH
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State | TX
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Zip | 76133-4326
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Country | US
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Telephone | 972-525-9900
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Fax | 469-333-7988
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Provider Business Mailing Address
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Address Line | PO BOX 37087
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City | BALTIMORE
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State | MD
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Zip | 21297-3087
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Country | US
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Telephone | 828-687-5616
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Fax | 828-650-8076
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 46149
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | S3391
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License Number State | TX
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