Organization
GREGORY E HYDE MD PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY E HYDE MD PHD (PRESIDENT/PHYSICIAN)
(936) 560-2600
Entity
Organization
Contact information
Practice address
1018 MOUND ST STE 103, NACOGDOCHES, TX 75961-4434
(936) 560-2600
(936) 560-4500
Mailing address
1018 MOUND ST STE 103, NACOGDOCHES, TX 75961-4434
(936) 560-2600
(936) 560-4500
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M0115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210776501
—
TX
01
—
DD5475
RAILROAD MEDICARE
—
Enumeration date
04/29/2008
Last updated
06/07/2010
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