Individual
GREGORY D HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4605 TOUR 18 DR, FLOWER MOUND, TX 75022-6449
(303) 933-8270
(972) 437-3369
Mailing address
2201 N CENTRAL EXPY, STE 185, RICHARDSON, TX 75080-2754
(303) 933-8270
(972) 437-3369
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J8584
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152869701
—
TX
Enumeration date
04/26/2006
Last updated
09/15/2011
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