Gregory, Alisa M

Gregory, Alisa M is an individual health care provider with primary practice located at 701 S Zarzamora St , San Antonio TX 78207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Gregory, Alisa M can be contacted via phone (210) 358-7578.

Contact Information

Primary practice address
701 S Zarzamora St San Antonio TX 78207
Phone: (210) 358-7578
Fax: (210) 358-7129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP122379 Texas

Profile Details

NPI number 1922349471
LBN Legal business name Gregory, Alisa M
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2013
Last updated Dec 6th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922349471 NPPES
Texas MEDICAID 316477403
Texas Other 316477404

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