Pendergast, Gregory R
Pendergast, Gregory R is an sole proprietor health care provider with primary practice located at 901 Hidden Valley Dr Apt 6302 , Round Rock TX 78665-1475. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Pendergast, Gregory R can be contacted via phone (817) 932-4285.Contact Information
Primary practice address
901 Hidden Valley Dr Apt 6302
Round Rock TX 78665-1475
Phone: (817) 932-4285
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT6282 | Texas |
Profile Details
| NPI number | 1619570561 |
|---|---|
| LBN Legal business name | Pendergast, Gregory R |
| Credentials | LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2020 |
| Last updated | Dec 9th, 2021 - about 4 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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