Individual
DR. IGOR DARKO GREGORIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 BATES AVE, SUITE P-514, HOUSTON, TX 77030-2607
(832) 355-4900
(832) 355-3770
Mailing address
1101 BATES AVE, SUITE P-514, HOUSTON, TX 77030-2607
(832) 355-4900
(832) 355-3770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L0223
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
L0223
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020047577
RAILROAD MEDICARE
TX
Enumeration date
10/10/2006
Last updated
02/29/2012
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