Provider Demographics
NPI:1699864066
Name:GAY, RONALD J (CRNA, DNP)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:J
Last Name:GAY
Suffix:
Gender:M
Credentials:CRNA, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 SABINE ST APT 459
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-8367
Mailing Address - Country:US
Mailing Address - Phone:832-867-7435
Mailing Address - Fax:
Practice Address - Street 1:1 BAYLOR PLZ
Practice Address - Street 2:MAIL STOP BCM115
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3411
Practice Address - Country:US
Practice Address - Phone:713-798-8650
Practice Address - Fax:713-798-2743
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2022-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX545412207L00000X, 367500000X
TXAP104155367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX109776802Medicaid
TX109776802Medicaid
TX430057981Medicare PIN
TX82050HMedicare PIN