DR. MARK B GRAY MD NPI 1447254222

NPI Information

NPI: 1447254222
Provider Name: DR. MARK B GRAY, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Address:
12554 RIATA VISTA CIR
AUSTIN, TX
ZIP 78727
Phone: (512) 795-5100
Get Directions

DR. Mark B Gray, MD is a vascular and interventional radiology radiology in Austin, TX. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Mark B Gray, MD NPI is 1447254222. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12554 RIATA VISTA CIR
AUSTIN, TX
ZIP 78727-431
Phone: (512) 795-5100
Fax: (512) 795-5122

The enumeration date for this NPI number is 6/9/2005 and was last updated on 1/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology	G6520	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	139655815	OTHER	TEXAS	CSHCN1
2	83774R	MEDICARE PIN	TEXAS
3	139655809	MEDICAID	TEXAS
4	300058890	OTHER		RRMCARE
5	139655816	MEDICAID	TEXAS
6	139655808	OTHER	TEXAS	CSHCN2
7	B87956	MEDICARE UPIN
8	300127009	OTHER		RRMCARE2
9	80R849	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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