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NPI Code Detail

MEDICARE: DR. GREGORY D. PARKHURST M.D.

MEDICARE: DR. GREGORY D. PARKHURST M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician0101238505VA
2207W00000XOphthalmology PhysicianN1041TX

General Provider Information

NPI Number : 1689737793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY D. PARKHURST M.D.
Provider Business Mailing Address
First Line : 9725 DATAPOINT DR STE 106
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-2385
Country : US
Telephone Number : 210-615-9358
Fax Number : 210-249-0209
Provider Business Practice Location Address
First Line : 9725 DATAPOINT DR STE 106
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-2385
Country : US
Telephone Number : 210-615-9358
Fax Number : 210-249-0209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 09/03/2020

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