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
Phone: (325) 944-1240
Fax: (325) 944-8616
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740363761 | NPPES |
Oklahoma | MEDICAID | 100137530A |
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