Grayline Clinical Drug Trials

Primary specialty

PsychologistTaxonomy code 103T00000X

License

C6537 Issued in TX

Legal business name

GRAYLINE CLINICAL DRUG TRIALS

Practice address

3300 Seymour Hwy
Wichita Falls, TX 76309-1608

Phone

(940) 322-1131

Fax

(940) 322-4953

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jack R Tomlinson, M.D.

Title

Medical Director

Phone

(940) 322-1131

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayres R Cermin

  • Family Medicine Physician
  • Wichita Falls, TX
  • NPI 1497460299
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508073883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 SEYMOUR HWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763091608",
            "telephone_number": "940-322-1131",
            "fax_number": "940-322-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 SEYMOUR HWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763091608",
            "telephone_number": "940-322-1131",
            "fax_number": "940-322-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYLINE CLINICAL DRUG TRIALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "940-322-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "C6537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalen Rasheed Grant, PMHNP-BC
• Tavanna Grant, PMHNP
• Andrea Bree Grassi, MS, RD, LD, CDE
• Jana Gray, R.PH.
• Ryan Lane Alexander Gray, MD
• Greater Life Caregiving Services LLC.
• Anastasia N Green, LAT,ATC
• Chris Green
• James Royce Green, D.D.S., P.A.
• Lauryn Gregg

• Psychologist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.