Gray, Jennifer Leanne

Gray, Jennifer Leanne is an individual health care provider with primary practice located at 1501 W 11Th Pl Ste 200 , Big Spring TX 79720-4121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gray, Jennifer Leanne can be contacted via phone (857) 304-2644.

Contact Information

Primary practice address
1501 W 11Th Pl Ste 200 Big Spring TX 79720-4121
Phone: (857) 304-2644
Fax: (617) 562-5313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X T8215 Texas

Profile Details

NPI number 1336637859
LBN Legal business name Gray, Jennifer Leanne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2018
Last updated Jun 28th, 2022 - about 4 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 1336637859 NPPES
Texas Other BP10065230 TEXAS PIT PERMIT

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