Individual
GREGORY ROBERT THORESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3417 GASTON AVE, SUITE 830, DALLAS, TX 75246-0830
(214) 826-6021
(214) 823-9745
Mailing address
3600 GASTON AVE, SUITE 1205, DALLAS, TX 75246-1800
(214) 692-8262
(214) 696-4190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
Q4316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348940301
—
TX
05
—
348940302
—
TX
05
—
348940303
—
TX
Enumeration date
05/28/2010
Last updated
01/19/2017
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