Individual
MR. GREGORY D. TENNESSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
8301 DIAMOND WAY CT, PEARLAND, TX 77584-7137
(713) 791-1414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01006
TX
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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