Individual
GREGORY PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PA-C
Contact information
Practice address
6600 FISH POND RD, SUITE 201, WACO, TX 76710-2581
(254) 752-9638
Mailing address
6600 FISH POND RD, SUITE 201, WACO, TX 76710-2581
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
TX
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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