Augustus Gray is a student in an organized health care education training program in Portales, NM. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Augustus Gray NPI is 1740707801. 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:
1500 S AVE K
STATION 3, SHROC
PORTALES, NM
ZIP 88130
Phone: (575) 914-0123
The enumeration date for this NPI number is 8/29/2017 and was last updated on 8/29/2017.