Individual
DR. ANTHONY V GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.D.
Contact information
Practice address
108 PLEASANT ST, MOUNT PLEASANT, TX 75455-5322
(903) 577-8878
(903) 577-8936
Mailing address
108 PLEASANT ST, MOUNT PLEASANT, TX 75455-5322
(903) 577-8878
(903) 577-8936
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
J9067
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
J9067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1165615-02
—
TX
01
—
8A2630
BCBS PROVIDER #
TX
01
—
J9067
TX STATE LICENCE
TX
Enumeration date
07/28/2005
Last updated
08/09/2023
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