Wray, Mary Jane

Wray, Mary Jane is an individual health care provider with primary practice located at 1602 Hill St , Bastrop TX 78602-2525. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Wray, Mary Jane can be contacted via phone (512) 772-4887.

Contact Information

Primary practice address
1602 Hill St Bastrop TX 78602-2525
Phone: (512) 772-4887
Fax: (830) 875-6398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X G4757 Texas

Profile Details

NPI number 1588633499
LBN Legal business name Wray, Mary Jane
Credentials M.D., PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 11th, 2024 - about last year

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 1588633499 NPPES
Texas Other 0074KV BCBS PROVIDER ID
Texas MEDICAID 137109801 BCBS PROVIDER ID

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