JOHNASAN M GREGORY MD PA
Osteopathic Medicine at Pegues Pl, Longview, TX

License number
Texas G8150
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: JOHNASAN M GREGORY M.D.
Title: PHYSICIAN
Phone: (903) 753-6688
Address
Address
905 Pegues Pl, Longview, TX 75601
National Provider ID: 1174939292
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOHNASAN M. GREGORY, M.D., PA

905 Pegues Pl, Longview, TX 75601

Doing business as:
Johnasan M. Gregory, M.D., PA<br>Longview Gastroenterology Clinic
Registration:
Jun 9, 2014
State ID:
0802006252
Business type:
Professional Association
Member:
Johnasan M. Gregory (Member)
Agent:
Johnasan M Gregory,905 Pegues Pl, Longview, TX 75601 (Physical)
TIN:
32054292134

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