Individual
DR. GREGORY PAUL TANKERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 SANTA FE DR, 400, WEATHERFORD, TX 76086-6574
(817) 594-7697
Mailing address
224 SANTA FE DR, 400, WEATHERFORD, TX 76086-6574
(817) 594-7697
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4115
TX
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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