| Dr Mark B Gray, MD | |
|
12554 Riata Vista Cir, Austin, TX 78727-6431 | |
| (512) 795-5100 | |
| (512) 795-5122 |
| Full Name | Dr Mark B Gray |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 12554 Riata Vista Cir, Austin, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447254222 | NPI | - | NPPES |
| 300127009 | Other | RRMCARE2 | |
| 139655808 | Other | TX | CSHCN2 |
| 139655809 | Medicaid | TX | |
| 139655816 | Medicaid | TX | |
| 300058890 | Other | RRMCARE | |
| 139655815 | Other | TX | CSHCN1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | G6520 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark B Gray, MD 12554 Riata Vista Cir, Austin, TX 78727-6431 Ph: (512) 795-5100 | Dr Mark B Gray, MD 12554 Riata Vista Cir, Austin, TX 78727-6431 Ph: (512) 795-5100 |
Jason R. Wallace, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Gregory Connor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Cir, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Catherine Suchia Wu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4101 James Casey Blvd, #100, Austin, TX 78745 Phone: 512-447-2202 Fax: 512-447-5337 | |
Dr. Michael Troy Harper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Ian L. Love, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8038 Mesa Dr, Austin, TX 78731 Phone: 512-901-8748 Fax: 512-901-8755 | |
Dr. Bradley Brenner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Cir, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Gordon A. Witwer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 |