Tollefsbol, Gregory Richard

Tollefsbol, Gregory Richard is an individual health care provider with primary practice located at 2701 Prince George Ave Suite 100, Desoto TX 75115-2045. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Tollefsbol, Gregory Richard can be contacted via phone (972) 296-8888.

Contact Information

Primary practice address
2701 Prince George Ave Suite 100 Desoto TX 75115-2045
Phone: (972) 296-8888
Fax: (972) 780-9550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02058 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA02058 Texas

Profile Details

NPI number 1487874624
LBN Legal business name Tollefsbol, Gregory Richard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2007
Last updated Nov 5th, 2007 - about 17 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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