Wilson, Gregory Stephan

Wilson, Gregory Stephan is an sole proprietor health care provider with primary practice located at 1001 South Nolan River Rd , Cleburne TX 76033-6501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Gregory Stephan can be contacted via phone (817) 517-9466.

Contact Information

Primary practice address
1001 South Nolan River Rd Cleburne TX 76033-6501
Phone: (817) 517-9466
Fax: (817) 556-9156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G0293 Texas

Profile Details

NPI number 1659364263
LBN Legal business name Wilson, Gregory Stephan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Aug 8th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659364263 NPPES
Texas Other 00DR73 BLUE CROSS BLUE SHIELD
Texas MEDICAID 121512101 BLUE CROSS BLUE SHIELD
Texas Other 121512104 BLUE CROSS BLUE SHIELD
Texas Other 1029775 BLUE CROSS BLUE SHIELD

Popular Providers