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Individual

RICHARD DAVID GRECZANIK

Active
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Individual

RICHARD DAVID GRECZANIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34.009584
OH
207Q00000X
Family Medicine Physician
58.001880
OH
207Q00000X
Family Medicine Physician
Primary
R1957
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370175701
—
TX
05
—
370175702
—
TX
01
—
75-0818167-022
TRICARE
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
75-2616977-129
TRICARE
TX
01
—
8GQ046
BCBS
TX
01
—
8GQ047
BCBS
TX
01
—
P01877165
MEDICARE RAIL ROAD
TX
Enumeration date
09/17/2008
Last updated
11/19/2025
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