Gray, Richard Newton Vickers

Gray, Richard Newton Vickers is an individual health care provider with primary practice located at 3600 Gaston Ave Suite 1158, Dallas TX 75246-1800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Gray, Richard Newton Vickers can be contacted via phone (214) 820-8585.

Contact Information

Primary practice address
3600 Gaston Ave Suite 1158 Dallas TX 75246-1800
Fax: (214) 820-8590
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X G9108 Texas

Profile Details

NPI number 1609812890
LBN Legal business name Gray, Richard Newton Vickers
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 9th, 2009 - about 17 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 1609812890 NPPES
Texas Other 8P8212 BCBS
Texas MEDICAID 127756806 BCBS
Texas MEDICAID 127756807 BCBS
Texas Other 8BR086 BCBS
Texas MEDICAID 127756809 BCBS

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