Organization
GREG KRENEK, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG KRENEK M.D. (PHYSICIAN)
(936) 756-0668
Entity
Organization
Contact information
Practice address
503 MEDICAL CENTER BLVD, SUITE 140, CONROE, TX 77304-2928
(936) 756-0668
(936) 756-7787
Mailing address
503 MEDICAL CENTER BLVD, SUITE 140, CONROE, TX 77304-2928
(936) 756-0668
(936) 756-7787
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J6529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039MB
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/15/2007
Last updated
01/12/2009
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