Organization
LIVE DRY LLC
Active
Organization
LIVE DRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN V GREGG (VICE PRESIDENT)
(817) 896-0860
Entity
Organization
Contact information
Practice address
3501 N MACARTHUR BLVD, SUITE 350, IRVING, TX 75062-3636
(972) 257-5300
(972) 257-5321
Mailing address
3501 N MACARTHUR BLVD, SUITE 350, IRVING, TX 75062-3636
(972) 257-5300
(972) 257-5321
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
G0320
TX
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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