Mabry, Gregory Carl
Mabry, Gregory Carl is an sole proprietor health care provider with primary practice located at 3551 Roger Brooke Dr , Fort Sam Houston TX 78234-4504. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Mabry, Gregory Carl can be contacted via phone (210) 808-2549.Contact Information
Primary practice address
3551 Roger Brooke Dr
Fort Sam Houston TX 78234-4504
Phone: (210) 808-2549
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C008166 | North Carolina |
Nursing Service Providers / Registered Nurse | 163W00000X | 974125 | Texas |
Nursing Service Providers / Registered Nurse | 163W00000X | RN61227134 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP61234580 | Washington |
Profile Details
NPI number | 1477851475 |
---|---|
LBN Legal business name | Mabry, Gregory Carl |
Credentials | PSYD, LCSW, PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 1st, 2011 |
Last updated | Apr 13th, 2022 - 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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