Istre, Gregory Roy

Istre, Gregory Roy is an individual health care provider with primary practice located at 4014 Crestwood Dr , Carrollton TX 75007-1645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Istre, Gregory Roy can be contacted via phone (214) 855-8510.

Contact Information

Primary practice address
4014 Crestwood Dr Carrollton TX 75007-1645
Phone: (214) 855-8510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X J0536 Texas

Profile Details

NPI number 1336128057
LBN Legal business name Istre, Gregory Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Feb 3rd, 2012 - 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 1336128057 NPPES
Texas Other 89311K BCBS
Texas MEDICAID 100826250B BCBS
Texas MEDICAID 136229507 BCBS

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