Oghafua, Gregson O

Oghafua, Gregson O is an individual health care provider with primary practice located at 3180 Executive Dr Ste 102, San Angelo TX 76904-6837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Oghafua, Gregson O can be contacted via phone (325) 944-1240.

Contact Information

Primary practice address
3180 Executive Dr Ste 102 San Angelo TX 76904-6837
Fax: (325) 944-8616
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X H9391 Texas

Profile Details

NPI number 1740363761
LBN Legal business name Oghafua, Gregson O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated May 8th, 2015 - about 9 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 1740363761 NPPES
Oklahoma MEDICAID 100137530A

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