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Organization

GREGORY ALLEN GOLLY CRNA, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY ALLEN GOLLY CRNA (PRESIDENT)
(214) 477-1182
Entity
Organization

Contact information

Practice address
2703 PINEHURST DR, GRAPEVINE, TX 76051-2697
(214) 477-1182
Mailing address
2703 PINEHURST DR, GRAPEVINE, TX 76051-2697
(214) 477-1182

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
501795
TX

Other

Enumeration date
01/10/2012
Last updated
01/10/2012
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