Provider Demographics
NPI:1073092797
Name:GRAYS, ARLENA (FNP-C)
Entity Type:Individual
Prefix:
First Name:ARLENA
Middle Name:
Last Name:GRAYS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20526 KEEGANS LEDGE LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7538
Mailing Address - Country:US
Mailing Address - Phone:713-927-5652
Mailing Address - Fax:
Practice Address - Street 1:455 SCHOOL ST STE 30
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4595
Practice Address - Country:US
Practice Address - Phone:281-357-0747
Practice Address - Fax:281-357-4147
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138068363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care