P Praxis·MD
● Active Type 1 · Individual

Justin Wylie Wray, M.D.

Radiology·Waco, TX· NPI 1407116163 · Enumerated 2012 · 13 years on NPI
Wray is 1 of 5 radiology providers in Waco and 1 of 568 in Texas.
NPI age
13 years
Enumerated 2012-05-29
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
TX, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-06-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 568 active radiology providers in Texas.

NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Practice location
1700 West Ave # 6
Waco, TX 767073054
📞 2543990741fax 2543990779
Mailing address
Po Box 911230
Dallas, TX 753911230
📞 9729978000fax 9722340813

Specialties

  • Radiology Primary
    A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
    TX license #R3455 taxonomy 2085R0001X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    FL license #TRN17315 taxonomy 207R00000X

Identifiers

TypeValueNotes
05 (TX) 372654902
05 (TX) 372654901
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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