Individual
GREG A GOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4041 W WHEATLAND RD, 156 343, DALLAS, TX 75237-4064
(972) 223-7878
(972) 283-0284
Mailing address
4041 W WHEATLAND RD, 156 343, DALLAS, TX 75237-4064
(972) 223-7878
(972) 283-0284
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
501795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109937604
—
TX
05
—
109937607
—
TX
05
—
109937608
—
TX
05
—
109937609
—
TX
01
—
8855UA
BCBS
TX
Enumeration date
12/07/2005
Last updated
01/29/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us