CLARENCE GRAY (NPI# 1932653714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932653714 |
| Entity Type | Individual |
| Full Name | CLARENCE GRAY |
| Practice Address |
134 W College Ave San Angelo TX 76903-5816 |
| Practice Telephone | 3256534210 |
| Mailing Telephone | 3256534210 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
33187 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154580405 | Clarence Edward Gray Jr. | Prosthetic/Orthotic Supplier | 275 Courtlyn Way, Mcdonough, GA 30252-6997 | 2008-06-03 |
| 1649362773 | Clarence Patrick Gray | Dentist | G3222 Beecher Rd, Flint, MI 48532 | 2006-09-28 |
| 1366505471 | Clarence Nicholas Gray | Chiropractor | 1405 East Main Street, Antlers, OK 74523 | 2006-12-19 |
| Street Address |
134 W COLLEGE AVE |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-5816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215481197 | Leroy Larry Sennette Jr. | Counselor | 134 W College Ave, San Angelo, TX 76903-5816 | 2016-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801430822 | Justina Ozuna Heredia | Counselor | 3425 Ymca Dr Apt 60, San Angelo, TX 76904-7180 | 2019-11-01 |
| 1528512480 | Ingrid Gamble | Counselor | 401 W Twohig Ave, San Angelo, TX 76903-6321 | 2016-08-09 |
| 1770688103 | Alan Keith Carson | Counselor | 218 Pulliam St., San Angelo, TX 76905 | 2006-09-13 |
| 1770525685 | Hector Cantu | Counselor | 2406 W Avenue N, San Angelo, TX 76904-5094 | 2006-06-12 |
| 1376153288 | Rusan Hiebert | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2020-08-05 |
| 1790345692 | Billy Berneard Brooks | Counselor | 401 W Twohig Ave, San Angelo, TX 76903-6321 | 2019-06-13 |
| 1972084077 | Sara Shurbet | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2018-08-27 |
| 1275014540 | Griselda Ana Arteaga | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2018-08-24 |
| 1821578709 | Laura Suzanne Weaver | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2018-08-20 |
| 1174003057 | Chelsea Lynn Ashton | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2018-08-20 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
Please comment or provide details below to improve the information on CLARENCE GRAY.
| 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.