Provider Demographics
NPI:1497944722
Name:JAMES H GRAY MD PA
Entity Type:Organization
Organization Name:JAMES H GRAY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:214-826-6110
Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:STE 760
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1800
Mailing Address - Country:US
Mailing Address - Phone:214-826-6110
Mailing Address - Fax:214-828-9127
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:STE 760
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1800
Practice Address - Country:US
Practice Address - Phone:214-826-6110
Practice Address - Fax:214-828-9127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD8240207W00000X
TXD9463208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0251HMOtherBLUE CROSS BLUE SHIELD GR
TXB87962Medicare UPIN
TX0251HMOtherBLUE CROSS BLUE SHIELD GR