Organization
GREGORY F MONDINI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY F MONDINI MD (OWNER)
(903) 675-7700
Entity
Organization
Contact information
Practice address
607 EAST CLINTON, ATHENS, TX 75751
(903) 675-7700
(903) 675-7809
Mailing address
607 EAST CLINTON, ATHENS, TX 75751
(903) 675-7700
(903) 675-7809
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J7099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R38X
BCBS OF TX
—
05
—
035601601
—
TX
Enumeration date
02/13/2006
Last updated
07/10/2008
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