Provider Demographics
NPI:1164613352
Name:MCCRAY-GARRISON, RISPBA NERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:RISPBA
Middle Name:NERINE
Last Name:MCCRAY-GARRISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 S EGRET BAY BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2682
Mailing Address - Country:US
Mailing Address - Phone:713-581-4392
Mailing Address - Fax:
Practice Address - Street 1:507 N SAM HOUSTON PKWY E STE 430
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4039
Practice Address - Country:US
Practice Address - Phone:832-230-4817
Practice Address - Fax:832-781-4342
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5234390200000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
4752957580OtherMYUTMB 4752957580