Individual
GREGORY MABRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 808-2549
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C008166
NC
163W00000X
Registered Nurse
974125
TX
163W00000X
Registered Nurse
RN61227134
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61234580
WA
Other
Enumeration date
03/01/2011
Last updated
11/22/2024
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