Elders, Gregory Jay
Elders, Gregory Jay is an individual health care provider with primary practice located at 508 Medical Center Blvd # 360 , Conroe TX 77304-2953. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Elders, Gregory Jay can be contacted via phone (936) 756-2229.Contact Information
Primary practice address
508 Medical Center Blvd # 360
Conroe TX 77304-2953
Phone: (936) 756-2229
Fax: (844) 274-2115
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | L8677 | Texas |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | L8677 | Texas |
Profile Details
NPI number | 1669479861 |
---|---|
LBN Legal business name | Elders, Gregory Jay |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 1st, 2005 |
Last updated | Apr 12th, 2023 - about last year |
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 | 1669479861 | NPPES |
Texas | MEDICAID | 167432705 | |
Texas | Other | L8677 |
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