Individual
MR. GREGORY JAMES ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2900 S LOOP 256, PALESTINE, TX 75801-6958
(903) 723-2465
(903) 677-5586
Mailing address
17810 REGAL ROW, FLINT, TX 75762-5730
(903) 825-2248
(903) 677-1472
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
508465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0889511-05
—
TX
Enumeration date
10/12/2005
Last updated
04/24/2019
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