Monica Renea Gray Enterprises Llc | |
9300 John Hickman Pkwy Ste 801 Frisco TX 75035-5913 | |
(817) 618-6001 | |
Not Available |
Full Name | Monica Renea Gray Enterprises Llc |
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Speciality | Social Worker |
Location | 9300 John Hickman Pkwy Ste 801, Frisco, Texas |
Authorized Official Name and Position | Monica Renea Gray (OWNER) |
Authorized Official Contact | 4697087049 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Monica Renea Gray Enterprises Llc Po Box 856 Mansfield TX 76063-0856 Ph: (817) 618-6001 | Monica Renea Gray Enterprises Llc 9300 John Hickman Pkwy Ste 801 Frisco TX 75035-5913 Ph: (817) 618-6001 |
NPI Number | 1073219770 |
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Provider Enumeration Date | 02/03/2023 |
Last Update Date | 08/13/2024 |
Certification Date | 08/13/2024 |
Medicare PECOS PAC ID | 3375918402 |
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Medicare Enrollment ID | O20230403002646 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073219770 | NPI | - | NPPES |
1N093 | Other | TX | MEDICARE |
Provider Name | Monica Renea Gray |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720362718 PECOS PAC ID: 3870724172 Enrollment ID: I20140331001194 |
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