Homer, Gregory D
Homer, Gregory D is an individual health care provider with primary practice located at 4605 Tour 18 Dr , Flower Mound TX 75022-6449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Homer, Gregory D can be contacted via phone (303) 933-8270.Contact Information
Primary practice address
4605 Tour 18 Dr
Flower Mound TX 75022-6449
Phone: (303) 933-8270
Fax: (972) 437-3369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | J8584 | Texas |
Profile Details
| NPI number | 1851358683 |
|---|---|
| LBN Legal business name | Homer, Gregory D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Sep 15th, 2011 - about 15 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 | 1851358683 | NPPES |
| Texas | MEDICAID | 152869701 |
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