Individual
FREDERICK P GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12951 SOUTH FWY, HOUSTON, TX 77047-1923
(713) 526-5771
(713) 526-2036
Mailing address
PO BOX 4346, DEPT 808, HOUSTON, TX 77210-4346
(713) 331-1850
(713) 521-7710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D7062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134675102
—
TX
05
—
134675108
—
TX
05
—
134675110
—
TX
05
—
134675111
—
TX
05
—
134675112
—
TX
Enumeration date
10/28/2005
Last updated
04/22/2020
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