Individual
MRS. MARILYN GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
201 ENTERPRISE ROW, SUITE 12, CONROE, TX 77301-4448
(936) 760-2784
(936) 760-1950
Mailing address
13090 BERT BROWN RD, CONROE, TX 77302-3948
(936) 760-2784
(736) 760-1950
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
224902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111553701
—
TX
05
—
111553702
—
TX
Enumeration date
11/14/2006
Last updated
07/01/2008
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