B LYNNE GRAY MD PLLC NPI 1346643459

NPI Information

B LYNNE GRAY MD PLLC is a primary care clinic center in Austin, TX. B LYNNE GRAY MD PLLC NPI is 1346643459. The provider is registered as an organization entity type.

The provider's business location address is:

12505 HYMEADOW DR
SUITE 2-A
AUSTIN, TX
ZIP 78750-867
Phone: (512) 219-8991
Fax: (512) 219-8996

The provider's authorized official is Barbara Lynne Gray .
The authorized official title is Physician and has the following contact phone number (512) 219-8991.

The CLIA number assigned to this NPI record is 45D0506216 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/2/2014 and was last updated on 10/2/2014.

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:

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