Individual provider Active NPI

Thomas James Wray, D.O.

  • Family Medicine Physician
  • Abilene, TX
National Provider Identifier
1003812108
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D97841 Issued in TX
Practice address
23 Hospital Dr
Ste 102
Abilene, TX 79606-5270
Phone
(325) 695-6370
Fax
(325) 692-6595
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D97841 TX Primary

Addresses

Primary practice location

23 Hospital Dr
Ste 102
Abilene, TX 79606-5270

Mailing address

23 Hospital Dr
Ste 102
Abilene, TX 79606-5270
Phone (325) 695-6370

Other identifiers 4

IdentifierTypeStateIssuer
085574401MedicaidTX
127310100OtherTXFIRST CARE
114791001MedicaidTX
84Z209OtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
D97841TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene Primary Care Associates Family Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Communities of Texas Healthcare, LLP Family Medicine PastSince Oct 9, 2022 Accepting new patients

Locations

23 Hospital Dr
Ste 102
Abilene, TX 79606
Phone (325) 238-9337

425 Cypress St
Abilene, TX 79601
Phone (915) 673-4488

Interoperability endpoints

  • Direct secure messaging: tjwray@directaddress.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1003812108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HOSPITAL DR",
            "address_2": "STE 102",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065270",
            "telephone_number": "325-695-6370",
            "fax_number": "325-692-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HOSPITAL DR",
            "address_2": "STE 102",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065270",
            "telephone_number": "325-695-6370",
            "fax_number": "325-692-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAY",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D97841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085574401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "127310100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114791001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84Z209",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.