Individual
DR. GREGG A SHALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 956-4525
Mailing address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 956-4525
(214) 960-5681
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
J8126
TX
2084N0400X
Neurology Physician
J8126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112880305
TPI
TX
05
—
PO88X2302
—
TX
Enumeration date
08/22/2005
Last updated
11/04/2022
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