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Individual

JOHNASAN M GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 N HIGHLAND AVE STE 340, SHERMAN, TX 75092-7392
(903) 957-0233
(903) 957-0263
Mailing address
300 N HIGHLAND AVE STE 340, SHERMAN, TX 75092-7392
(903) 957-0233
(903) 957-0263

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G8150
TX
207RG0100X
Gastroenterology Physician
Primary
G8150
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126499603
TX
01
G8150
LICENSE
TX
Enumeration date
07/19/2005
Last updated
04/16/2012
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