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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. ROBERT GREG MAUL D.O. (PHYSICIAN)
(972) 463-3100
Entity
Organization
Contact information
Practice address
440 STATE HIGHWAY 78, SUITE 220, LAVON, TX 75166-1265
(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
E9798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RAILROAD MEDICARE
DO8066
TX
Enumeration date
04/13/2009
Last updated
11/24/2009
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