Doctor Name: | DR. MONICA M MADRAY |
NPI Number: | 1851559884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | N4566 |
Business Practice Address: | 700 San Gabriel Village Blvd Ste 105 Georgetown, TX - 786265594 |
Business Phone Number: | 5128199910 |
Business Fax Number: | 5128199970 |
Mailing Address: | 700 San Gabriel Village Blvd, Ste 105 GEORGETOWN |
State: | TX |
Postal Code: | 786265594 |
Phone Number: | 5128199910 |
Fax Number: | 5128199970 |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 02/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | N4566 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |