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Individual

GREGORY L FREIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-5000
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L9694
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014PJ
BLUE CROSS BLUE SHIELD
TX
05
168670103
TX
05
168670105
TX
05
168670106
TX
05
168670107
TX
05
168670108
TX
05
168670109
TX
01
75-0818167-048
TRICARE
TX
01
75-2616977-001
TRICARE
TX
01
75-2616977-002
TRICARE
TX
01
75-2616977-028
TRICARE
TX
01
750818167022
TRICARE
TX
01
750818167044
TRICARE
TX
01
8DU465
BCBS
TX
01
8U5862
BLUE CROSS & BLUE SHIELD
TX
01
8X8168
BCBS
TX
01
P00647972
RAIL ROAD
TX
01
P00688862
RAIL ROAD
TX
01
P01304435
RAIL ROAD
TX
01
TIN PLUS 005
TRICARE
TX
01
TIN PLUS 015
TRICARE
TX
Enumeration date
10/18/2006
Last updated
03/16/2015
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