Organization
MEDICAL & SURGICAL DERMATOLOGY CENTER OF NORTHEAST TEXAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY V GRECO M.D. (OWNER)
(903) 577-8878
Entity
Organization
Contact information
Practice address
108 PLEASANT ST, MT PLEASANT, TX 75455-5322
(903) 577-8878
(903) 577-8936
Mailing address
108 PLEASANT ST, MT PLEASANT, TX 75455-5322
(903) 577-8878
(903) 577-8936
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J9067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081422001
—
TX
01
—
45ER
BCBS GROUP
TX
Enumeration date
09/14/2006
Last updated
08/09/2023
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