Individual
DR. GEORGE W. GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACC
Contact information
Practice address
2105 CROWN RIDGE DR., KERRVILLE, TX 78028-8936
(830) 515-5744
(830) 515-5776
Mailing address
2105 CROWN RIDGE DR., KERRVILLE, TX 78028-8936
(830) 515-5744
(830) 515-5776
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G41184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G41184
MEDICAL LICENSE
CA
01
—
GR164327
MEDICARE PROVIDER #
PA
Enumeration date
12/27/2007
Last updated
12/27/2007
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