Doctor Name: | MS. CHELSEA MARIE GRAY |
NPI Number: | 1003134198 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | BP10036844 |
Business Practice Address: | 8140 N Mopac Expy Ste 3-210 Austin, TX - 787598862 |
Business Phone Number: | 5123432292 |
Business Fax Number: | 5123432745 |
Mailing Address: | 8140 N Mopac Expy Ste 3-210, AUSTIN |
State: | TX |
Postal Code: | 787598862 |
Phone Number: | 5123432292 |
Fax Number: | 5123432745 |
NPI Enumeration Date: | 05/13/2010 |
NPI Last Update Date: | 08/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | BP10036844 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |