Individual
DR. GREGORY LANE KEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 AVENUE F, BAY CITY, TX 77414-4117
(979) 245-9754
(979) 244-3750
Mailing address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-1700
(979) 532-4584
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H3086
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114508802
—
TX
05
—
114508806
—
TX
01
—
160039179
RAILROAD GBA - RAILROAD MEDICARE
TX
01
—
83Y420
BC/BS TX#
TX
01
—
8DE531
BC/BS #
TX
01
—
PO1209193
RAILROAD MEDICARE #
TX
Enumeration date
04/17/2006
Last updated
10/21/2013
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