Individual
GREGORY ALLEN TABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 743-0895
Mailing address
108 CHELSEA CT, SALADO, TX 76571-6092
(254) 624-4657
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
722951
TX
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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