Individual
DR. MICHAEL J GRECULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 LAUREL STREET, BEAUMONT, TX 77707
(409) 838-0346
(409) 839-3720
Mailing address
3650 LAUREL STREET, BEAUMONT, TX 77707
(409) 838-0346
(409) 839-3720
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J5336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129736802
—
TX
05
—
129736806
—
TX
01
—
129736807
CSHCN
TX
01
—
8BE152
BCBS OF TEXAS
TX
Enumeration date
11/03/2006
Last updated
04/07/2015
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