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
Phone: (361) 643-9800
Fax: (361) 643-5112
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477581221 | NPPES |
| Texas | MEDICAID | 178461302 | |
| Texas | Other | 8U3260 |
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