Edwards, Gregory Ashton

Edwards, Gregory Ashton is an individual health care provider with primary practice located at 802 Medical Dr Suite 400, Longview TX 75605-5100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Edwards, Gregory Ashton can be contacted via phone (903) 757-7871.

Contact Information

Primary practice address
802 Medical Dr Suite 400 Longview TX 75605-5100
Phone: (903) 757-7871
Fax: (903) 753-2479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X L3632 Texas

Profile Details

NPI number 1700853793
LBN Legal business name Edwards, Gregory Ashton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Dec 23rd, 2021 - about 3 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 1700853793 NPPES
Texas MEDICAID 150512506
Texas MEDICAID 150512504

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