Provider Demographics
NPI:1487765806
Name:GRAY, ARTHUR MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:MICHAEL
Last Name:GRAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 RUFE SNOW DR STE 120
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-5501
Mailing Address - Country:US
Mailing Address - Phone:817-656-1615
Mailing Address - Fax:817-428-0573
Practice Address - Street 1:1710 RUFE SNOW DR STE 120
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-5501
Practice Address - Country:US
Practice Address - Phone:817-656-1615
Practice Address - Fax:817-428-0573
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4083111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDC 4083OtherLICENSE NUMBER