Individual
DR. GREGORY ROY ISTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4014 CRESTWOOD DR, CARROLLTON, TX 75007-1645
(214) 855-8510
Mailing address
PO BOX 795275, DALLAS, TX 75379-5275
(214) 855-8510
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
J0536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100826250B
—
OK
05
—
136229507
—
TX
01
—
89311K
BCBS
TX
Enumeration date
01/11/2006
Last updated
02/03/2012
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