Individual
GREGORY JELINEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10314 GLENNSWOOD DR, NAVASOTA, TX 77868-6306
(936) 825-7134
Mailing address
10314 GLENNSWOOD DR, NAVASOTA, TX 77868-6306
(936) 825-7134
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G1050
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00236698
RAILROAD MEDICARE
AR
Enumeration date
10/06/2006
Last updated
12/14/2007
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