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NPI Code Detail

MEDICARE: DR. MORGAN GRAY DO

MEDICARE: DR. MORGAN GRAY DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician8434OK
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1316687684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MORGAN GRAY DO
Provider Business Mailing Address
First Line : 4924 OAKLAWN DR
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-7523
Country : US
Telephone Number : 501-551-7549
Fax Number :
Provider Business Practice Location Address
First Line : 744 W 9TH ST
Second Line :
City : TULSA
State : OK
Zip : 74127-9907
Country : US
Telephone Number : 918-599-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2022
Last Update Date : 12/03/2025

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