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Individual

GREGORY TESTAMARCK

Active
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Individual

GREGORY TESTAMARCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1151233
TX
246ZC0007X
Surgical Assistant
SA00468
TX
363LF0000X
Family Nurse Practitioner
Primary
1151233
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8PX957
BCBS- US MSO
TX
01
—
8QA718
BCBS - BLUE STAR SURGICAL
TX
01
—
8QC669
BCBS - XCITE SURGICAL ASSISTANTS
TX
01
—
8QC851
BCBS - UNIVERSAL SURGICAL ASSISTANTS
TX
01
—
8QF483
BCBS - UNIVERSAL SURGICAL PARTNERS
TX
01
—
SA00721
TEXAS MEDICAL BOARD
TX
Enumeration date
02/03/2017
Last updated
05/29/2026
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