Nicole Ann Bray in Southlake - Physician Assistant

Nicole Ann Bray - NPI 1013050533

Nicole Ann Bray is a Physician Assistant in Southlake, Texas. Nicole Ann Bray practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nicole Ann Bray is 1013050533. The last update date is 2018-03-17.

Nicole Ann Bray's current location address is 200 Pecan Crk, Southlake, Texas. You can contact this provider via phone number 8174814739 and fax number 8776568470. The mailing address for Nicole Ann Bray is 200 Pecan Crk, Southlake, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicole Ann Bray
Address 200 Pecan Crk, Southlake, Texas
Phone Number 8174814739
Fax Number 8776568470
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1013050533
Provider Enumeration Date 2007-02-14
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 200 Pecan Crk
City Southlake
State Texas (TX)
Post Code 760926371
Phone Number 8174814739
Fax Number 8776568470

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA04796
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Nicole Ann Bray

What is the Nicole Ann Bray's unique identification number?

The Nicole Ann Bray has been assigned the NPI (National Provider Identifier) Number 1013050533 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Nicole Ann Bray is physically located?

The Nicole Ann Bray is situated at the following address: 200 Pecan Crk, Southlake, TX 760926371.

What is Nicole Ann Bray'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 Nicole Ann Bray is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1013050533 to Nicole Ann Bray?

The Centers for Medicare & Medicaid Services assigned the 1013050533 to Nicole Ann Bray on 2007-02-14.

When was the information regarding Nicole Ann Bray, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Nicole Ann Bray, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-03-17.

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