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Individual

GREGORY A SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
627 TURTLE CREEK DR, TYLER, TX 75701-1832
(903) 593-2539
(903) 593-0559
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0404

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
H6590
TX
2085R0202X
Diagnostic Radiology Physician
H6590
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124169705
TX
Enumeration date
03/30/2006
Last updated
11/18/2020
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