Individual
DR. GREGORY JAY ELDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 MEDICAL CENTER BLVD # 360, CONROE, TX 77304-2953
(936) 756-2229
(844) 274-2115
Mailing address
508 MEDICAL CENTER BLVD # 360, CONROE, TX 77304-2953
(936) 756-2229
(844) 274-2115
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L8677
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
L8677
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167432705
—
TX
01
—
L8677
LICENSE
TX
Enumeration date
07/01/2005
Last updated
04/12/2023
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