Individual
GREG A VANZANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6606 LYNDON B JOHNSON FWY STE 200, DALLAS, TX 75240-6524
(972) 233-1999
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G8476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084919201
—
TX
05
—
110421803
—
TX
01
—
87X080
BCBS TX
TX
Enumeration date
08/20/2006
Last updated
07/01/2020
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