MR. Beau Ashley Gray, CSFA

NPI #1760883151 in Iowa Park, Texas

Provider Information

NPI Number
1760883151
Entity Type
Individual
Name
MR. Beau Ashley Gray, CSFA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
CSFA
Enumeration Date
Sep 4, 2014
Last Updated
Sep 5, 2014

Practice Location

Address
824 N BOND ST
State
Texas
ZIP Code
76367-1728
Phone
(940) 636-2448

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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