Provider Demographics
NPI:1003227612
Name:MCCRAY, MAXWELL GILBERT JR (DO)
Entity Type:Individual
Prefix:DR
First Name:MAXWELL
Middle Name:GILBERT
Last Name:MCCRAY
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:200 W ESPLANADE AVE STE 412
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2475
Mailing Address - Country:US
Mailing Address - Phone:504-464-2940
Mailing Address - Fax:504-464-2941
Practice Address - Street 1:200 W ESPLANADE AVE STE 412
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2475
Practice Address - Country:US
Practice Address - Phone:504-464-2940
Practice Address - Fax:504-464-2941
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2023-02-09
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Provider Licenses
StateLicense IDTaxonomies
LA328127207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine