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Individual

GREGORY THOMAS LAWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4242 MEDICAL DR, SUITE 3100, SAN ANTONIO, TX 78229-5640
(210) 615-1187
(210) 614-2180
Mailing address
PO BOX 34717, SAN ANTONIO, TX 78265-4717
(210) 615-1187
(210) 614-2180

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP1-0037934
TX
207L00000X
Anesthesiology Physician
Primary
P8593
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14342414
DRIVER'S LICENSE
TX
Enumeration date
05/18/2010
Last updated
08/05/2014
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