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Individual

GREGORY GEORGE SCHAIBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2294
(817) 321-0404
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3194
(817) 321-0404

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
134481
FL
2085R0202X
Diagnostic Radiology Physician
51636
SC
2085R0202X
Diagnostic Radiology Physician
7385
GA
2085R0202X
Diagnostic Radiology Physician
Primary
T8935
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103375400
FL
Enumeration date
04/04/2013
Last updated
12/06/2022
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