Jack D Gray, FNP Valid NPI

Individual provider · Family Nurse Practitioner · Victoria, TX

NPI

1639405061

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

731532 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2009-10-20

Last updated

2009-10-20