Individual
GREGORY LEE EADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 MEDICAL PLAZA DR, SUITE 200, THE WOODLANDS, TX 77380-3242
(832) 813-0979
(832) 813-0984
Mailing address
1120 MEDICAL PLAZA DR, SUITE 200, THE WOODLANDS, TX 77380-3242
(832) 813-0979
(832) 813-0984
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101049545
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
M4048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006231250
—
VA
05
—
0092612000
—
WV
05
—
184714701
—
TX
01
—
P00385879
MEDICARE RAILROAD PTAN
TX
Enumeration date
06/28/2006
Last updated
07/24/2008
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