Mann, Gregory Glenn

Mann, Gregory Glenn is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mann, Gregory Glenn can be contacted via phone (806) 414-9800.

Contact Information

Primary practice address
1400 S Coulter St Amarillo TX 79106
Phone: (806) 414-9800
Fax: (806) 354-5689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-470 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2146 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA08326 Texas

Profile Details

NPI number 1982978482
LBN Legal business name Mann, Gregory Glenn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2012
Last updated Aug 1st, 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 1982978482 NPPES
Texas MEDICAID 356196102
Texas MEDICAID 27603512
Texas MEDICAID 356196103
Texas MEDICAID 200765750A

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