Enod L Gray is a Clinical in Houston, Texas. Enod L Gray practices all healthcare services and medical treatments related to Clinical. The NPI Number for Enod L Gray is 1477611614. The last update date is 2007-07-08.
Enod L Gray's current location address is 4200 Montrose Blvd, Houston, Texas. You can contact this provider via phone number 7137777193 and fax number 7135221196. The mailing address for Enod L Gray is 4200 Montrose Blvd, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Enod L Gray |
|---|---|
| Address | 4200 Montrose Blvd, Houston, Texas |
| Phone Number | 7137777193 |
| Fax Number | 7135221196 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1477611614 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4200 Montrose Blvd |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 77006 |
| Phone Number | 7137777193 |
| Fax Number | 7135221196 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | S25169 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5952 | TX | BCBS | |
| 7976402 | MAGELLAN |
Post Comment/ Review Below
What is the unique identifier code issued to Enod L Gray by the Centers for Medicare & Medicaid Services?
The Enod L Gray has been assigned the NPI (National Provider Identifier) 1477611614. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Enod L Gray's physical address?
The Enod L Gray is physically located at 4200 Montrose Blvd, in the city of Houston, TX, with the postal code 77006.
What is the Enod L Gray's specialty and taxonomy code?
The Enod L Gray's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Enod L Gray receive the assignment of its 1477611614 from the Centers for Medicare & Medicaid Services?
The Enod L Gray was issued its 1477611614 by the Centers for Medicare & Medicaid Services on 2006-12-04.
As of what date was the information pertaining to Enod L Gray, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Enod L Gray, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.