Provider Demographics
NPI:1073605820
Name:J GREGORY MCCRAY DO PA
Entity Type:Organization
Organization Name:J GREGORY MCCRAY DO PA
Other - Org Name:BARTONVILLE FAMILY MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:MCCRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:940-455-7100
Mailing Address - Street 1:80 MCMAKIN RD
Mailing Address - Street 2:
Mailing Address - City:BARTONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-8438
Mailing Address - Country:US
Mailing Address - Phone:940-455-7100
Mailing Address - Fax:940-455-7105
Practice Address - Street 1:80 MCMAKIN RD
Practice Address - Street 2:
Practice Address - City:BARTONVILLE
Practice Address - State:TX
Practice Address - Zip Code:76226-8438
Practice Address - Country:US
Practice Address - Phone:940-455-7100
Practice Address - Fax:940-455-7105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184368201Medicaid
8W8360OtherBLUE CROSS BLUE SHIELD
TX00X286Medicare PIN