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General NPI Number Information
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NPI Number | 1811903933
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Entity Type | Individual
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Provider Name | COLLIN D. BRAY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 2457 S BRAESWOOD BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4305
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Country | US
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Telephone | 713-798-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BAYLOR PLZ RM 165B
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City | HOUSTON
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State | TX
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Zip | 77030-3411
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Country | US
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Telephone | 713-481-3533
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L3250
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License Number State | TX
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