Redish, Gregory Alan
Redish, Gregory Alan is an sole proprietor health care provider with primary practice located at 9330 Poppy Dr Ste 405, Dallas TX 75218-4621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Redish, Gregory Alan can be contacted via phone (214) 320-9382.Contact Information
Primary practice address
9330 Poppy Dr Ste 405
Dallas TX 75218-4621
Phone: (214) 320-9382
Fax: (214) 321-1137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G2006 | Texas |
Profile Details
| NPI number | 1194710970 |
|---|---|
| LBN Legal business name | Redish, Gregory Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Apr 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194710970 | NPPES |
| Texas | Other | 060031201 | RAILROAD MEDICARE |
| Texas | MEDICAID | 128832604 | RAILROAD MEDICARE |
| Texas | Other | 81G602 | RAILROAD MEDICARE |
| Texas | Other | 060035084 | RAILROAD MEDICARE |
| Texas | MEDICAID | 128832602 | RAILROAD MEDICARE |
| Texas | MEDICAID | 128832605 | RAILROAD MEDICARE |
| Texas | Other | 80A138 | RAILROAD MEDICARE |
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