MRS. JANE WRAY (NPI# 1588633499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588633499 |
| Entity Type | Individual |
| Full Name | MRS. JANE WRAY |
| Other Name | MRS. MARY JANE WRAY |
| Credential | M.D., PHD |
| Practice Address |
111 S Laurel Ave Luling TX 78648-2624 |
| Practice Telephone | 8308756399 |
| Practice Fax Number | 8308756398 |
| Mailing Telephone | 8308756399 |
| Mailing Fax Number | 8308756398 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
G4757 | TX | Allopathic & Osteopathic Physicians |
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
G4757 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER ID | 0074KV | 01 |
| TX | 137109801 | 05 |
| Street Address |
111 S LAUREL AVE |
| City | LULING |
| State | TX |
| Zip Code | 78648-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275519456 | Theresa Silva Velasquez | Pediatrics | 111 S Laurel Ave, Luling, TX 78648-2624 | 2005-12-19 |
| 1508375072 | Matthew Michael Webb | Nurse Practitioner | 111 S Laurel Ave, Luling, TX 78648-2624 | 2017-09-27 |
| 1689956658 | Rochelle Nicole Wilk | Dentist | 111 S Laurel Ave, Luling, TX 78648-2624 | 2011-09-15 |
| 1336359355 | Honeybee E, Powell | Nurse Practitioner | 111 S Laurel Ave, Luling, TX 78648-2624 | 2007-05-22 |
| 1720126659 | Jerry F Castilleja | Family Medicine | 111 S Laurel Ave, Luling, TX 78648-2624 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962768218 | The Comfort | Assisted Living Facility | 3500 Callihan Road, Luling, TX 78648 | 2012-04-11 |
| 1376624387 | Martin E Weiner, M.d. P.a. | Family Medicine | 711 S Hackberry, Luling, TX 78648 | 2006-10-17 |
| 1578678298 | Allan Ernest Price | Internal Medicine | 130 Hays Street, Suite D, Luling, TX 78648 | 2006-08-21 |
| 1396789491 | Dewitt Medical District | Skilled Nursing Facility | 208 Maple Street, Luling, TX 78648 | 2006-06-16 |
| 1093758500 | Howard K Wilson | Family Medicine | 130 Hays Street, Suite B and D, Luling, TX 78648 | 2006-06-13 |
| 1154310431 | Diversicare Leasing Corp. | Skilled Nursing Facility | Houston Highway, Luling, TX 78648-0230 | 2005-10-19 |
| 1013914191 | Provider Healthcare Services of Luling, LLC | Skilled Nursing Facility | 1105 N Magnolia Ave, Luling, TX 78648-1604 | 2005-07-05 |
| 1144662990 | Gonzales Healthcare Systems | Skilled Nursing Facility | 1105 N Magnolia Ave, Luling, TX 78648-1604 | 2013-07-22 |
| 1366457723 | Provider Healthcare Services of Luling, LLC | Skilled Nursing Facility | 1105 N Magnolia Ave, Luling, TX 78648-1604 | 2006-07-31 |
| 1922013440 | Inez Brown | Nursing Facility/Intermediate Care Facility | 501 W Austin St, Luling, TX 78648-1741 | 2006-07-31 |
| Find all providers in zip 78648 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073912325 | Pediatric Endocrinology Clinic | Pediatrics | 4302 S Sugar Rd Ste 205, Edinburg, TX 78539-9140 | 2014-08-21 |
| 1215292875 | Amrita Anil Waingankar | Pediatrics | 7711 O Connor Dr Apt 2502, Round Rock, TX 78681 | 2012-07-10 |
| 1447554860 | Pediatric Endocrinology of Central Texas Pllc | Pediatrics | 1605a Redwood Road, San Marcos, TX 78666-1424 | 2010-12-28 |
| 1164757712 | Virginia Cortes Araiza | Pediatrics | 3701 W Alabama St Ste 350, Houston, TX 77027-5264 | 2009-10-14 |
| 1992952758 | Jose David Gamez | Pediatrics | 2821 Michaelangelo Dr Ste 102a, Edinburg, TX 78539-1411 | 2008-08-24 |
| 1639356108 | Farah Mehdi Khatoon | Pediatrics | 8611 N Mopac Expy, Austin, TX 78759-8319 | 2008-01-28 |
| 1730378456 | Vandana S Raman | Pediatrics | 6621 Fannin St # Cc102005, Suite 1020, Houston, TX 77030-2303 | 2007-10-18 |
| 1154544054 | Amy M. Burton | Pediatrics | 6124 W Parker Rd Ste 230, Plano, TX 75093-8124 | 2007-04-10 |
| 1295870459 | Southwestern Diabetic Physicians Association | Pediatrics | 10687 Fm 678, Whitesboro, TX 76273-4840 | 2007-02-21 |
| 1881776367 | Otto Velasquez Md Phd & Associates | Pediatrics | 5111 N 10th St # 281, Mcallen, TX 78504-2835 | 2006-10-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.