Individual
GREGG W BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 450-4903
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 450-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
N1999
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213401701
—
TX
01
—
213401702
CSHCN
TX
Enumeration date
07/15/2006
Last updated
09/17/2010
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