Active NPI
Thomas James Wray, D.O.
- Family Medicine Physician
- Abilene, TX
National Provider Identifier
1003812108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D97841
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085574401 | Medicaid | TX | |
| 127310100 | Other | TX | FIRST CARE |
| 114791001 | Medicaid | TX | |
| 84Z209 | Other | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| D97841 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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
- 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.
-
- Internal Medicine Physician
- Abilene, TX
- NPI 1346338415
Family Medicine
-
- Family Medicine Physician
- Sterling City, TX
- NPI 1801510847
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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.