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Katherine Denta Gray

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

6550 Fannin St Ste 1661a, Houston, TX 77030-2717

PECOS Enrollment

This provider is enrolled in PECOS as KATHERINE GRAY.

Based on the most recent information from CMS, provider Katherine Denta Gray is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1306189360
Provider Type
Individual
Full Name
Gray, Katherine Denta
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/28/2013
Last Updated
3/1/2023

Contact Information

Practice Location

6550 Fannin St Ste 1661a, Houston, TX 77030-2717

(713) 441-5177

Unlisted Fax

Mailing Location

525 E 68th St, New York, NY 10065-4870

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License T6901 Texas

Katherine Denta Gray

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Shafii, Alexis Edward

Groth, Shawn Spencer

Ren, Dewei

Spooner, Aaron Joel

Liao, Kenneth K

Adachi, Iki

Gregoric, Igor Darko

Pickard, Laurens Russell

Mckenzie, Emmett D.

Ho, Jonathan K