Provider Demographics
NPI:1578787107
Name:SCOTT, NAKIA GRAY (MD)
Entity Type:Individual
Prefix:DR
First Name:NAKIA
Middle Name:GRAY
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4131 SPICEWOOD SPGS
Mailing Address - Street 2:SUITE F-1
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8661
Mailing Address - Country:US
Mailing Address - Phone:512-562-9117
Mailing Address - Fax:512-872-2659
Practice Address - Street 1:4131 SPICEWOOD SPGS
Practice Address - Street 2:SUITE F-1
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8661
Practice Address - Country:US
Practice Address - Phone:512-562-9117
Practice Address - Fax:512-872-2659
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL84992084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1934077-02Medicaid
TX1934077-02Medicaid