Individual
DR. GREGORY CHARLES LIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6460 NAAMAN FOREST BLVD, GARLAND, TX 75044-5601
(972) 494-6764
(972) 494-6893
Mailing address
3600 GASTON AVE, SUITE 1205, DALLAS, TX 75246-1800
(972) 961-9482
(214) 696-4190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
Q3726
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348171501
—
TX
05
—
348171502
—
TX
Enumeration date
04/28/2009
Last updated
06/07/2018
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