Gregory, Charles C

Gregory, Charles C is an individual health care provider with primary practice located at 311B Buddy Ganem , Portland TX 78374-3233. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gregory, Charles C can be contacted via phone (361) 643-9800.

Contact Information

Primary practice address
311B Buddy Ganem Portland TX 78374-3233
Fax: (361) 643-5112
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L7737 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L7737 Texas

Profile Details

NPI number 1477581221
LBN Legal business name Gregory, Charles C
Credentials DO PA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jun 14th, 2024 - about 2 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 1477581221 NPPES
Texas MEDICAID 178461302
Texas Other 8U3260

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