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General NPI Number Information
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NPI Number | 1942438098
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Entity Type | Individual
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Provider Name | BRIAN ALLEN GRAY D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 04/10/2019
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Provider Practice Location Address
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Address Line | 23900 KATY FREEWAY INTENSIVE CARE UNIT
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City | KATY
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State | TX
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Zip | 77494
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Country | US
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Telephone | 281-703-3020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 475
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City | KATY
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State | TX
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Zip | 77492-0475
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Country | US
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Telephone | 281-703-3020
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Fax | 281-578-4862
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | R8569
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License Number State | TX
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