Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | R5846 | TX |
NPI | 1831578715 |
---|---|
Provider Name | Dr. Monica Anne Bray |
First Address | Houston, TX 77030 |
Second Address | Houston, TX 77030-3005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2015 |
Last Update Date | 01/09/2021 |