Homer, Gregory D

Homer, Gregory D is an individual health care provider with primary practice located at 4605 Tour 18 Dr , Flower Mound TX 75022-6449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Homer, Gregory D can be contacted via phone (303) 933-8270.

Contact Information

Primary practice address
4605 Tour 18 Dr Flower Mound TX 75022-6449
Phone: (303) 933-8270
Fax: (972) 437-3369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X J8584 Texas

Profile Details

NPI number 1851358683
LBN Legal business name Homer, Gregory D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 15th, 2011 - about 13 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 1851358683 NPPES
Texas MEDICAID 152869701

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