Provider Demographics
NPI:1457662124
Name:MCRAY, BRETT HAMILTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:HAMILTON
Last Name:MCRAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 CITYWEST BLVD
Mailing Address - Street 2:SUITE #110
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-2300
Mailing Address - Country:US
Mailing Address - Phone:832-830-8226
Mailing Address - Fax:832-830-8223
Practice Address - Street 1:1500 CITYWEST BLVD
Practice Address - Street 2:SUITE #110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2300
Practice Address - Country:US
Practice Address - Phone:832-830-8226
Practice Address - Fax:832-830-8223
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25604122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice