Individual
GREGORY RYAN NEWSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
5252 W UNIVERSITY DR, MCKINNEY, TX 75071-7822
(469) 800-5375
Mailing address
15610 FOREST CREEK DR, FRISCO, TX 75035-6864
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1133310
TX
Other
Enumeration date
09/13/2023
Last updated
08/27/2024
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