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Organization
R. GREG MAUL, D.O., P.A.
Active
Organization
R. GREG MAUL, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROB ERT GREG MAUL D.O. (PHYSICIAN)
(972) 463-3100
Entity
Organization
Contact information
Practice address
7501 LAKEVIEW PKWY, SUITE 130, ROWLETT, TX 75088-9322
(972) 463-3100
(866) 801-1503
Mailing address
7501 LAKEVIEW PKWY, SUITE 130, ROWLETT, TX 75088-9322
(972) 463-3100
(866) 801-1503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00CB16
BLUE CROSS BLUE SHIED
TX
01
—
DO8066
RAILROAD MEDICARE
TX
Enumeration date
05/30/2008
Last updated
11/24/2009
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