Individual
DR. GREGORY JOHN MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219-4688
(510) 683-9500
(877) 880-2039
Mailing address
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219-4688
(510) 683-9500
(877) 880-2039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C7-0005338
DE
2085R0202X
Diagnostic Radiology Physician
2026-01301
NC
2085R0202X
Diagnostic Radiology Physician
34C.000500
OH
2085R0202X
Diagnostic Radiology Physician
DOS-2800
HI
2085R0202X
Diagnostic Radiology Physician
H0104852
MD
2085R0202X
Diagnostic Radiology Physician
OS019015
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
OS019015
PA
Other
Enumeration date
04/11/2013
Last updated
04/02/2026
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