Individual
MR. NATHANAEL SHAY MCGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, MSN, NP-C
Contact information
Practice address
3307 SPRING STUEBNER RD, SUITE A1, SPRING, TX 77389-4690
(936) 242-9501
(281) 719-0027
Mailing address
3554 HAMILTON BEND LN, SPRING, TX 77386-7086
(936) 242-9501
(281) 580-5070
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
SA00005
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP126769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001JR
BLUECROSS NUMBER
TX
01
—
AG0914074
AANPCP
TX
01
—
SA00005
LICENSE NUMBER
TX
Enumeration date
03/28/2007
Last updated
10/26/2014
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