Individual
GREGORY TESTAMARCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
2200 ALDINE MAIL ROUTE RD STE 104, HOUSTON, TX 77039-5532
(346) 229-4177
(346) 229-4190
Mailing address
4411 CHARRITON DR, HOUSTON, TX 77039-4709
(832) 526-1849
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1151233
TX
246ZC0007X
Surgical Assistant
Primary
SA00468
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8PX957
BCBS- US MSO
TX
01
—
8QA718
BCBS - BLUE STAR SURGICAL
TX
01
—
8QC669
BCBS - XCITE SURGICAL ASSISTANTS
TX
01
—
8QC851
BCBS - UNIVERSAL SURGICAL ASSISTANTS
TX
01
—
8QF483
BCBS - UNIVERSAL SURGICAL PARTNERS
TX
01
—
SA00721
TEXAS MEDICAL BOARD
TX
Enumeration date
02/03/2017
Last updated
03/12/2026
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