Hallbauer, Gregg M

Hallbauer, Gregg M is an individual health care provider with primary practice located at 4015 Interstate 45 N , Conroe TX 77304-4901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hallbauer, Gregg M can be contacted via phone (936) 756-6631.

Contact Information

Primary practice address
4015 Interstate 45 N Conroe TX 77304-4901
Phone: (936) 756-6631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L2299 Texas

Profile Details

NPI number 1922007343
LBN Legal business name Hallbauer, Gregg M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Mar 9th, 2010 - about 14 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 1922007343 NPPES
Texas MEDICAID 148219205
Texas Other 00J21A

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