Individual
GREGORY NELSON BANCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
2171 TEXAS DRIVE, SUGAR LAND, TX 77479
(281) 313-0540
(281) 313-0542
Mailing address
2171 TEXAS DRIVE, SUGAR LAND, TX 77479
(281) 313-0540
(281) 313-0542
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
N1992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8CK358
BCBS IND. NUMBER
TX
Enumeration date
05/30/2009
Last updated
08/31/2011
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