| B Lynne Gray Md Pllc | |
|
12505 Hymeadow Dr Suite 2-a Austin TX 78750-1867 | |
| (512) 219-8991 | |
| (512) 219-8996 |
| Full Name | B Lynne Gray Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12505 Hymeadow Dr, Austin, Texas |
| Authorized Official Name and Position | Barbara Lynne Gray (PHYSICIAN) |
| Authorized Official Contact | 5122198991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B Lynne Gray Md Pllc 12505 Hymeadow Dr Suite 2-a Austin TX 78750-1867 Ph: (512) 219-8991 | B Lynne Gray Md Pllc 12505 Hymeadow Dr Suite 2-a Austin TX 78750-1867 Ph: (512) 219-8991 |
| NPI Number | 1346643459 |
|---|---|
| Provider Enumeration Date | 10/02/2014 |
| Last Update Date | 10/02/2014 |
| Medicare PECOS PAC ID | 3072835388 |
|---|---|
| Medicare Enrollment ID | O20141121002279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346643459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G8145 (Texas) | Primary |
| Provider Name | Barbara L Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003841909 PECOS PAC ID: 8820029424 Enrollment ID: I20050823001064 |
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