Gray, Billy T

Gray, Billy T is an individual health care provider with primary practice located at 3201 University Dr E Suite 135, Bryan TX 77802-3475. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gray, Billy T can be contacted via phone (979) 774-7587.

Contact Information

Primary practice address
3201 University Dr E Suite 135 Bryan TX 77802-3475
Phone: (979) 774-7587
Fax: (979) 774-0388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01414 Texas

Profile Details

NPI number 1750666301
LBN Legal business name Gray, Billy T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2011
Last updated Jun 20th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750666301 NPPES
Texas MEDICAID PENDING

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