Provider Demographics
NPI:1467919860
Name:BRAY, TAMAYA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TAMAYA
Middle Name:
Last Name:BRAY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16610 DOLENTE RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78266-2942
Mailing Address - Country:US
Mailing Address - Phone:919-280-6293
Mailing Address - Fax:
Practice Address - Street 1:16610 DOLENTE RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78266-2942
Practice Address - Country:US
Practice Address - Phone:919-280-6293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX558231835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX55823OtherTEXAS STATE BOARD OF PHARMACY