Provider Demographics
NPI:1073795969
Name:BRANDY L. MCCRAY, MD, FAAP, PA
Entity Type:Organization
Organization Name:BRANDY L. MCCRAY, MD, FAAP, PA
Other - Org Name:THROUGH THE YEARS PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MCCRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD FAAP
Authorized Official - Phone:210-479-9292
Mailing Address - Street 1:15316 HUEBNER RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-0987
Mailing Address - Country:US
Mailing Address - Phone:210-479-9292
Mailing Address - Fax:210-479-9294
Practice Address - Street 1:15316 HUEBNER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-0987
Practice Address - Country:US
Practice Address - Phone:210-479-9292
Practice Address - Fax:210-479-9294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4564208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty