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Individual

DR. CLINT WALKER GREGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
925 SANTA FE DR. SUITE 105, WEATHERFORD, TX 76086
(855) 798-2020
(817) 789-6290
Mailing address
925 SANTA FE DR, SUITE 105, WEATHERFORD, TX 76086
(855) 798-2020
(817) 789-6290

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J4169
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100140800A
OK
05
114027100
TX
01
114027101
FIRSTCARE COMMERCIAL
TX
05
137622006
TX
05
137622007
TX
01
33853
PRESBYTERIAN COMMERCIAL
NM
05
33853
NM
01
80784Z
HMO BLUE
TX
01
82W450
BC/BS
TX
01
A005
TRIWEST
NM
05
W5079
NM
Enumeration date
10/31/2005
Last updated
03/11/2026
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