Individual
MR. GREGORY JAMES SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O., L.O.
Contact information
Practice address
1935 MEDICAL DISTRICT DR., CHILDRENS MEDICAL CENTER P. M. & R. DEPT, DALLAS, TX 75235
(214) 456-2778
(214) 456-8107
Mailing address
7849 ILESON RD, AUBREY, TX 76227-4473
(940) 440-9632
(940) 440-9632
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
157
TX
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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