Jacqueline J Gray in Shreveport - Pediatrics

Jacqueline J Gray - NPI 1346354297

Jacqueline J Gray is a Pediatrics in Shreveport, Louisiana. Jacqueline J Gray practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jacqueline J Gray is 1346354297. The last update date is 2021-07-15.

Jacqueline J Gray's current location address is 3041 Martin Luther King Drive, Shreveport, Louisiana. You can contact this provider via phone number 3182273350 and fax number 3182273350. The mailing address for Jacqueline J Gray is 3041 Martin Luther King Drive, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline J Gray
Address 3041 Martin Luther King Drive, Shreveport, Louisiana
Phone Number 3182273350
Fax Number 3182273350
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1346354297
Provider Enumeration Date 2006-08-18
Last Updated Date 2021-07-15

Provider Mailing Address Detail

Address 3041 Martin Luther King Drive
City Shreveport
State Louisiana (LA)
Post Code 71107
Phone Number 3182273350
Fax Number 3182273350

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 35075835
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2489258 OH --

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FAQs about Jacqueline J Gray

What is the unique 10-digit identifier code assigned to Jacqueline J Gray by the Centers for Medicare & Medicaid Services?

The Jacqueline J Gray has been issued the NPI (National Provider Identifier) 1346354297 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jacqueline J Gray's facilities are geographically located?

The facilities of Jacqueline J Gray are physically situated at the following location: 3041 Martin Luther King Drive, Shreveport, LA, 71107.

What is Jacqueline J Gray's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jacqueline J Gray is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1346354297 to Jacqueline J Gray?

The Centers for Medicare & Medicaid Services assigned the 1346354297 to Jacqueline J Gray on 2006-08-18.

When was the information pertaining to Jacqueline J Gray most recently updated or revised?

The details related to Jacqueline J Gray, including its address, specialty, and other relevant information, were last updated or revised on 2021-07-15.

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