| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Medicare PECOS PAC ID | 3375918402 |
|---|---|
| Medicare Enrollment ID | O20230403002646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073219770 | NPI | - | NPPES |
| 1N093 | Other | TX | MEDICARE |
| Provider Name | Monica Renea Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720362718 PECOS PAC ID: 3870724172 Enrollment ID: I20140331001194 |
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