JACK D GRAY

VICTORIA, TX
NPI1639405061
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  731532)
Enumeration Date2009-10-20
Last Update Date2009-10-20
Business Address
-- JACK D GRAY FNP
4504 N. LAURENT ST.
VICTORIA, TX 77901
Phone number: 361-573-9999
Mailing Address
-- JACK D GRAY FNP
2802 BON AIRE AVE
VICTORIA, TX 77901-4464
Phone number: 361-648-7535