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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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 | 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 |
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